Active NPI
SM Gulzar Hossain, MD
- Foot Surgery Podiatrist
- Brooklyn, NY
National Provider Identifier
1629452164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- P96729
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P96729 | NY | MD | Foot 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.