Individual provider Active NPI

Enamul Hoque

  • Surgical Physician Assistant
  • Newark, NJ
National Provider Identifier
1457582710
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00145100 Issued in NJ
Practice address
201 Lyons Ave
Newark, NJ 07112-2027
Phone
(973) 926-2117
NPI assigned
Aug 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010626 NY
Surgical Physician Assistant 363AS0400X 25MP00145100 NJ Primary

Addresses

Primary practice location

201 Lyons Ave
Newark, NJ 07112-2027

Mailing address

3386 12TH Ave Apt 2
Brooklyn, NY 11218-2102
Phone (347) 653-8920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830002966 NY Practitioner - Physician Assistant 1658552351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1243 Fulton St
Brooklyn, NY 11216-2004
Phone (646) 647-1257

1305 Kings Hwy
Brooklyn, NY 11229-1903
Phone (718) 280-5172

135 Montague St
Brooklyn, NY 11201-3504
Phone (646) 346-7918

2125 Nostrand Ave
Brooklyn, NY 11210-3001
Phone (718) 489-3557

2175 86TH St
Brooklyn, NY 11214-3205
Phone (646) 828-6401

2183 A Ralph Ave
Brooklyn, NY 11234-5405
Phone (718) 571-9225

228 - 230 Court St
Brooklyn, NY 11201-6405
Phone (718) 280-5362

256 Utica Ave
Brooklyn, NY 11213-4029
Phone (718) 571-9355

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

461 Fulton St
Brooklyn, NY 11201-5207
Phone (718) 571-9418

5024 5TH Ave
Brooklyn, NY 11220-1909
Phone (718) 571-9251

6502 18TH Ave
Brooklyn, NY 11204-3702
Phone (718) 571-9423

704 Brighton Beach Ave
Brooklyn, NY 11235-6412
Phone (718) 571-9291

8712 4TH Ave
Brooklyn, NY 11209-5110
Phone (718) 530-1155

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Aug 5, 2020 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 5, 2020 Accepting new patients
New York University CurrentSince Jul 16, 2018 Accepting new patients
New York University CurrentSince Jul 16, 2018 Accepting new patients
Tri-County Orthopaedic & Sports Medicine PA Physician Assistant Past Accepting new patients

Locations

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: enamul.hoque.1@2983.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60912

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1457582710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3386 12TH AVE APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182102",
            "telephone_number": "347-653-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOQUE",
        "first_name": "ENAMUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010626",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00145100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.