Issa T Madhoun, M.D.

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

118166 Issued in NY

Practice address

192 Executive Dr
New Hyde Park, NY 11040-1051

Phone

(516) 365-4948

NPI assigned

Jul 10, 2007

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1679771927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 EXECUTIVE DRIVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-365-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 EXECUTIVE DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401051",
            "telephone_number": "516-365-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHOUN",
        "first_name": "ISSA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NY",
            "license": "118166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Paul Macdonald, M.D.
• Sabrina Mackittrick, NP
• Suhani Madaan
• Rajeevi Madankumar, MD
• Edward Madden
• Divya Madhu, PHARMD
• Dennis Carlos Madrid, MD/PHD
• Ellen Elizabeth Madrid
• Diana Marie Maffei, D.O.
• Dean Andrew Hilsinger Magauran, MD

• Long Term Care Hospital in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Long Term Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.