Individual provider Active NPI

Nazmul Hossain, NP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1467069385
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F309605-01 Issued in NY
Practice address
455 1St Ave
New York, NY 10016-9102
Phone
(212) 764-7667
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F309605-01 NY Primary

Addresses

Primary practice location

455 1St Ave
New York, NY 10016-9102

Mailing address

13211 79TH St
Ozone Park, NY 11417-1137
Phone (917) 443-9074

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
I20250107000466 NY Practitioner - Nurse Practitioner 4880122738 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F309605-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Latina Medical Office, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Team Care Medical PLLC CurrentSince Aug 21, 2025 Accepting new patients
Bellevue Hospital PastSince Sep 27, 2020 Accepting new patients

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

530 Conduit Blvd
#C
Brooklyn, NY 11208
Phone (718) 277-5500

188 Dahill Rd
Ste A
Brooklyn, NY 11218
Phone (646) 752-7058

Interoperability endpoints

  • Direct secure messaging: nazmul.hossain.1@32021.direct.athenahealth.com

Organizations & group practices 3

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": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1467069385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13211 79TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171137",
            "telephone_number": "917-443-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169102",
            "telephone_number": "212-764-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "NAZMUL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F309605-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.