NPIMap

Individual provider Active NPI

Mohammad S Hussain, M.D.

  • Internal Medicine Physician
  • Amityville, NY
National Provider Identifier
1710051537
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
230250 Issued in NY
Practice address
221 Broadway
Suite 204
Amityville, NY 11701
Phone
(631) 598-4897
Fax
(631) 598-5866
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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 230250 NY Primary

Addresses

Primary practice location

221 Broadway
Suite 204
Amityville, NY 11701

Mailing address

221 Broadway
Suite 204
Amityville, NY 11701-2780
Phone (631) 598-4897

Other identifiers 1

IdentifierTypeStateIssuer
02596270MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001344 NY Practitioner - Internal Medicine 2769471986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 Broadway
Suite B
Amityville, NY 11701-2770
Phone (631) 598-4897

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad S Hussain MD PC Internal Medicine CurrentSince Jul 25, 2010 Accepting new patients
RS Neuro Medical, P.C. PastSince May 1, 2007 Accepting new patients
Integrated Diagnostic Imaging & Cardiology of Staten Island P.C. PastSince Jul 25, 2010 Accepting new patients
Massapequa Center LLC Past Accepting new patients
Amityville Pulmonology PLLC Past Accepting new patients
Wsnchs North, Inc. Past Accepting new patients
South Shore Magnetic Resonance Imaging Associates PC PastSince Aug 13, 2016 Accepting new patients
Cold Spring Acquisition LLC Past Accepting new patients

Locations

317 Broadway
Ste B
Amityville, NY 11701
Phone (631) 598-4897

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1710051537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 204",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "631-598-4897",
            "fax_number": "631-598-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 204",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "11701",
            "telephone_number": "631-598-4897",
            "fax_number": "631-598-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "230250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02596270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.