Hollis Primary Care P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

257463 Issued in NY

Legal business name

HOLLIS PRIMARY CARE P.C.

Practice address

196 22 Hillside Ave
Hollis, NY 11423

Phone

(347) 390-0612

NPI assigned

May 29, 2018

Last updated

Dec 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohd HossainNPI 1083931919

Title

M.D.

Phone

(917) 399-2374

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohd A Hossain, M.D

  • Internal Medicine Physician
  • Hollis, NY
  • NPI 1083931919
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1417448234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CAPRI DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763205",
            "telephone_number": "917-399-2374",
            "fax_number": "718-480-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 22 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "347-390-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS PRIMARY CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "MOHD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "917-399-2374",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollis Medical PC
• Hollis Multi-Specialty Dental Group P.C
• Hollis Operating Co LLC (Holliswood Center for Rehabilitation and Healthcare)
• Hollis Park Manor Nursing Home, Inc.
• Hollis Pediatrics
• Hollis RX Inc
• Holliswood Care Center Inc
• Gary Alan Holtzberg, OD
• Sherly Horeb
• Mohd A Hossain, M.D

• Internal Medicine Physician in Hollis, NY
• Providers in Hollis, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.