Individual provider Active NPI

Sumyyia Usman

  • Internal Medicine Physician
  • Rockville Centre, NY
National Provider Identifier
1700510609
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
112368 Issued in NY
Practice address
41 Maine Ave
Rockville Centre, NY 11570-3614
Phone
(516) 536-7730
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 112368 NY Primary

Addresses

Primary practice location

41 Maine Ave
Rockville Centre, NY 11570-3614

Mailing address

150 Eileen Way Unit 1
Syosset, NY 11791-5313
Phone (516) 855-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220825001989 NY Practitioner - Internal Medicine 7517341571 Reassigns benefits to 1 organization
I20240925004679 PA Practitioner - Hospitalist 7517341571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Care Medical Group PLLCGroup PAC ID 7113298209, 45 clinicians

Practice addresses (Care Compare)

41 Maine Ave
Rockville Centre, NY 11570-3614
Phone (516) 536-7730

Hospital & facility affiliations

  • Glengariff Health Care Center Nursing home, Glen Cove, NY, CCN 335211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112368NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 3, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 3, 2024 Accepting new patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
Progressive Care Medical Group, PLLC Internal Medicine CurrentSince Jun 2, 2022 Accepting new patients
Glengariff Operating LLC Past Accepting new patients

Locations

41 Maine Ave
Rockville Ctr, NY 11570
Phone (516) 536-7730

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

2100 Mack Blvd
Fl 4
Allentown, PA 18103

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1700510609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EILEEN WAY UNIT 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915313",
            "telephone_number": "516-855-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAINE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703614",
            "telephone_number": "516-536-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMAN",
        "first_name": "SUMYYIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "112368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.