Individual provider Active NPI

SM Gulzar Hossain, MD

  • Foot Surgery Podiatrist
  • Brooklyn, NY
National Provider Identifier
1629452164
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
P96729 Issued in NY
Practice address
850 Monroe Street. Apt 1
Brooklyn, NY 11221
Phone
(646) 642-6204
Fax
(347) 405-6289
NPI assigned
Jul 15, 2015
Last updated
Jul 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X P96729 NY Primary

Addresses

Primary practice location

850 Monroe Street. Apt 1
Brooklyn, NY 11221

Mailing address

850 Monroe St Apt 1
850 Monroe Street Apt 1
Brooklyn, NY 11221-4181
Phone (646) 642-6204

Other names 1

  • Dr. S M Gulzar Hossain Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P96729NYMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1629452164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MONROE ST APT 1",
            "address_2": "850 MONROE STREET APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214181",
            "telephone_number": "646-642-6204",
            "fax_number": "347-405-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MONROE STREET. APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11221",
            "telephone_number": "646-642-6204",
            "fax_number": "347-405-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "SM",
        "middle_name": "GULZAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "P96729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S M",
            "last_name": "HOSSAIN",
            "middle_name": "GULZAR",
            "prefix": "DR.",
            "credential": "M.D,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.