Active NPI
Northeast Clinic PLLC
- Family Medicine Physician
- Minneapolis, MN
National Provider Identifier
1508711235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTHEAST CLINIC PLLC
- Practice address
- 3620 Central Ave NE Ste 4
Minneapolis, MN 55418-1377 - Phone
- (763) 744-7960
- Fax
- (952) 242-9153
- NPI assigned
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amin Mohammed Yousuf, PA-C
- Title
- Ceo
- Phone
- (763) 744-7960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3620 Central Ave NE Ste 4
Minneapolis, MN 55418-1377
Mailing address
3620 Central Ave NE Ste 4
Minneapolis, MN 55418-1377
Phone (763) 744-7960
National Provider Directory
National Provider DirectoryLocations
3620 Central Ave NE
Ste 4
Minneapolis, MN 55418
Phone (763) 744-7960
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Minneapolis, MN
- NPI 1558685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1508711235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 CENTRAL AVE NE STE 4",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554181377",
"telephone_number": "763-744-7960",
"fax_number": "952-242-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 CENTRAL AVE NE STE 4",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554181377",
"telephone_number": "763-744-7960",
"fax_number": "952-242-9153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "YOUSUF",
"authorized_official_first_name": "AMIN",
"authorized_official_middle_name": "MOHAMMED",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "763-744-7960",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.