Individual provider Active NPI

Syeda Hafsa Hussaini, PA-C

  • Medical Physician Assistant
  • Farmingdale, NY
National Provider Identifier
1558601534
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA061180 Issued in PA
Practice address
2 Fuschetto CT
Farmingdale, NY 11735
Phone
(718) 309-3835
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 011916 NY
Medical Physician Assistant 363AM0700X MA061180 PA Primary

Addresses

Primary practice location

2 Fuschetto CT
Farmingdale, NY 11735

Mailing address

2 Fuschetto CT
Farmingdale, NY 11735-4262

Other practice location 1

775 S Arlington Ave
Harrisburg, PA 17109-5002
Phone (717) 782-5905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shussaini279383@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000618 PA Practitioner - Physician Assistant 2769616945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA061180PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2024 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients
Down State Medical Center Past Accepting new patients

Locations

775 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 541-9240

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Organizations & group practices 5

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": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1558601534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FUSCHETTO CT",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FUSCHETTO CT",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "718-309-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 S Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095002",
            "country_code": "US",
            "telephone_number": "717-782-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "SYEDA",
        "middle_name": "HAFSA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "011916",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shussaini279383@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "775 S Arlington Ave",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171095002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.