Hussein Omar, Physician, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

154839 Issued in NY

Legal business name

HUSSEIN OMAR, PHYSICIAN, P.C.

Practice address

1885 State Route 52
Liberty, NY 12754-8309

Phone

(845) 292-0078

Fax

(845) 292-3244

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hussein Omar, PHYSICIAN, P.C.

Title

President

Phone

(845) 292-0078

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PAIN CONTROL CENTER Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1659329050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127340558",
            "telephone_number": "845-292-0078",
            "fax_number": "845-292-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 STATE ROUTE 52",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127548309",
            "telephone_number": "845-292-0078",
            "fax_number": "845-292-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSEIN OMAR, PHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-292-0078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICIAN, P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "154839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624684",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "110306800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5829053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN CONTROL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Marie Hobby, DPT
• Lorraine A Holder, CASAC
• Jill M Holland, COTA
• Renee Hook, FNP
• Tiffany Anne Huebsch, RN
• Internal Medicine Hematology and Cancer Care PC
• Theodore N Isseks, MD
• Jack & Jill Developmental Services, SLP, OT & Psychology, PLLP
• Jack and Jill Developmental Services
• Sandhya Jakka, PT

• Specialist in Liberty, NY
• Providers in Liberty, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.