Hossein Fattahi, MD, MS, MA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

7901 Broadway
Elmhurst, NY 11373-1329

Phone

(718) 334-3542

NPI assigned

Oct 27, 2021

Reactivated

Apr 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Medicine, Master of Science

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1558025320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAHI",
        "first_name": "HOSSEIN",
        "name_prefix": "Dr.",
        "credential": "MD, MS, MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "deactivation_date": "2025-03-27",
        "reactivation_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danil Farkash, D.D.S.
• Shariq A Farooqi, CPHT
• Joseph Farraye, MD
• Farzana Matin, M.D., P.C.
• Evangelia Fatourou, MD
• Bolutife Fawole, MD
• Taliat Abiodun Fawole, M.D
• Faye Grand, Otr CHT PC
• Faye Grand, Otr CHT PC
• Arsen Faylayev, PHARMD

• Student in an Organized Health Care Education/Training Program in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.