Individual provider Active NPI

Hosneara Masub, MD

  • Pediatrics Physician
  • Lic, NY
National Provider Identifier
1477563039
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
217560 Issued in NY
Practice address
25 09 36TH Ave
Lic, NY 11106
Phone
(718) 482-0209
Fax
(718) 482-0296
NPI assigned
Aug 8, 2006
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 217560 NY Primary

Addresses

Primary practice location

25 09 36TH Ave
Lic, NY 11106

Mailing address

9 Knoll LN
Roslyn Heights, NY 11577-2607
Phone (917) 405-6727

Other practice location 1

7013 37th Ave
Jackson Heights, NY 11372-3922
Phone (718) 205-8700

Other practice location 2

1078 Fulton St
Brooklyn, NY 11238-2680
Phone (718) 622-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hmasubmd@hotmail.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000351 NY Practitioner - Pediatric Medicine 0042227936 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Mar 20, 2023 Accepting new patients
MMC Pediatrics Faculty Practice Pediatrics CurrentSince Mar 20, 2023 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Jul 8, 2016 Accepting new patients
Interfaith Medical Center Pediatrics Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: hosnera.masub.p1@direct.mmc.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1477563039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KNOLL LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772607",
            "telephone_number": "917-405-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 09 36TH AVE",
            "city": "LIC",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "718-482-0209",
            "fax_number": "718-482-0296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7013 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113723922",
            "country_code": "US",
            "telephone_number": "718-205-8700",
            "fax_number": "718-205-8702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1078 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112382680",
            "country_code": "US",
            "telephone_number": "718-622-2300",
            "fax_number": "718-622-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUB",
        "first_name": "HOSNEARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "217560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hmasubmd@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "personal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25 09 36th ave",
            "city": "LIC",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lic, NY

Sources for this page

Verify at the official NPI Registry.