Individual provider Active NPI

Nosson Michael Hayum, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1609259530
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339818 Issued in NY
Practice address
2045 58TH St
Brooklyn, NY 11204-2012
Phone
(718) 854-0001
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 339818 NY Primary

Addresses

Primary practice location

2045 58TH St
Brooklyn, NY 11204-2012

Mailing address

2045 58TH St
Brooklyn, NY 11204-2012

Other practice location 1

4424-4426 18th Ave
Brooklyn, NY 11204
Phone (718) 854-0001

Other practice location 2

4426 18th Ave
Brooklyn, NY 11204-1201
Phone (718) 854-0001

Other identifiers 1

IdentifierTypeStateIssuer
04182174MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018002051 NY Practitioner - Nurse Practitioner 0840506309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perfect Health Medical LLCGroup PAC ID 0547666919, 12 clinicians

Practice addresses (Care Compare)

4426 18TH Ave
Brooklyn, NY 11204-1201
Phone (212) 734-6621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Health Medical LLC CurrentSince Apr 19, 2023 Accepting new patients
Crown Heights Medical, P.C. CurrentSince Aug 1, 2021 Accepting new patients

Locations

4426 18th Ave
Brooklyn, NY 11204
Phone (718) 635-9700

314 Bradley Ave
Staten Island, NY 10314
Phone (718) 494-1700

Networks

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

Organizations & group practices 2

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.

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1609259530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 58TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042012",
            "telephone_number": "718-854-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4424-4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11204",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4426 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112041201",
            "country_code": "US",
            "telephone_number": "718-854-0001",
            "fax_number": "888-530-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYUM",
        "first_name": "NOSSON",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04182174",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.