Individual provider Active NPI

A. Hassan Mohaideen, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1710939871
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
111038 Issued in NY
Practice address
705 86TH St
Brooklyn, NY 11228-3232
Phone
(718) 637-4226
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 111038 NY Primary

Addresses

Primary practice location

705 86TH St
Brooklyn, NY 11228-3232

Mailing address

294 Howard Ave
Staten Island, NY 10301-4409
Phone (718) 816-8866

Other names 1

  • Dr. Abdulkader Hassan Mohaideen Professional name

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

LicenseStateTypeSpecialty
111038NYMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710939871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 HOWARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014409",
            "telephone_number": "718-816-8866",
            "fax_number": "718-442-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283232",
            "telephone_number": "718-637-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAIDEEN",
        "first_name": "A. HASSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "111038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULKADER",
            "last_name": "MOHAIDEEN",
            "middle_name": "HASSAN",
            "prefix": "DR.",
            "credential": "MD",
            "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 13, 2026; 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.