Izna Medical Care PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

IZNA MEDICAL CARE PC

Practice address

8702 167TH St
Jamaica, NY 11432-3636

Phone

(718) 200-0723

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Ishtiaq Hossain, MDNPI 1104261379

Title

MD

Phone

(607) 250-7920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ishtiaq Hossain, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1104261379
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1508574302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MELONY AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035615",
            "telephone_number": "607-250-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8702 167TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323636",
            "telephone_number": "718-200-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZNA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "ISHTIAQ",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "607-250-7920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ivy, HHA
• Helen Onyinyechi Iwu, RN
• Ibezim Iwu, RN
• Mercy Iwule
• Izna Healthcare PC
• Ja Pharmacy RX Inc
• Jab Learning Services Inc
• Candith Jackson, CNA
• Chanbria Jackson, LMSW
• Cherry Jackson

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.