Individual provider Active NPI

Ayesha Hussain, D.O

  • Obstetrics & Gynecology Physician
  • Jamaica, NY
National Provider Identifier
1619262532
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
285688 Issued in NY
Practice address
8742 169TH St
Jamaica, NY 11432-3632
Phone
(347) 829-9625
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 285688 NY
Obstetrics & Gynecology Physician 207V00000X 285688 NY Primary

Addresses

Primary practice location

8742 169TH St
Jamaica, NY 11432-3632

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (347) 829-9625

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
I20161026000334 NY Practitioner - Obstetrics/Gynecology 4789962762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 16, 2019 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P Obstetrics & Gynecology CurrentSince Aug 3, 2020 Accepting new patients
Pinnacle Health Medical Services Obstetrics & Gynecology Current Accepting new patients
TJH Medical Services, P.C. Obstetrics & Gynecology CurrentSince Aug 13, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 16, 2019 Accepting new patients

Locations

4875 Sunrise Hwy
Ste 200
Bohemia, NY 11716
Phone (631) 638-4401

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

2 Jennifer Ct
Ste B
Carlisle, PA 17015
Phone (717) 218-9830

20 North St
Hanover, PA 17331
Phone (717) 637-7755

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: ayesha.hussain@direct.stonybrookmedicine.edu

Organizations & group practices 6

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1619262532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "347-829-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323632",
            "telephone_number": "347-829-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "AYESHA",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "285688",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "285688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.