Individual provider Active NPI

Nooshin Hosseini, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1558655696
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
248447 Issued in MA
Practice address
233 Broadway RM 2750
New York, NY 10279-2704
Phone
(212) 889-5544
Fax
(212) 481-1089
NPI assigned
Jun 7, 2011
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA10753300 NJ
Gastroenterology Physician 207RG0100X 248447 MA Primary

Addresses

Primary practice location

233 Broadway RM 2750
New York, NY 10279-2704

Mailing address

233 Broadway Suite 2750
New York, NY 10279
Phone (212) 889-5544

Other practice location 1

36 East 31 Street Suite 701
New York, NY 10016-1001
Phone (212) 889-5544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vanguardgi@directaddress.net

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
I20140625001959 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0547491946 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Medical Services of Nassau, PCGroup PAC ID 0648704577, 10 clinicians

Practice addresses (Care Compare)

233 Broadway
RM 2750
New York, NY 10279-2704
Phone (212) 889-5544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248447MAMDGastroenterology Physician
25MA10753300NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients
Medical Services of Nassau, PC Gastroenterology CurrentSince Oct 1, 2024 Accepting new patients
Lenox Hill Faculty Medical Affiliates University Faculty Prac CurrentSince Nov 1, 2025 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Gastroenterology CurrentSince Feb 1, 2020 Accepting new patients

Locations

100 E 77th St
Fl 2
New York, NY 10075
Phone (212) 434-2172

233 Broadway
Rm 2750
New York, NY 10279
Phone (212) 889-5544

36 E 31st St
Rm 701
New York, NY 10016
Phone (212) 889-5544

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Networks

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

Interoperability endpoints

  • Direct secure messaging: nhosseini66740@northwell.direct-ci.com
  • Direct secure messaging: vanguardgi@directaddress.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1558655696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 BROADWAY SUITE 2750",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10279",
            "telephone_number": "212-889-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 2750",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102792704",
            "telephone_number": "212-889-5544",
            "fax_number": "212-481-1089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 East 31 Street Suite 701",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100161001",
            "country_code": "US",
            "telephone_number": "212-889-5544",
            "fax_number": "212-481-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "NOOSHIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA10753300",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "248447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vanguardgi@directaddress.net",
            "affiliation": "N",
            "address_1": "233 Broadway Rm 2750",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "102792704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.