Organization Active NPI

Hicksville Medical Care, PC

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1720170400
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HICKSVILLE MEDICAL CARE, PC
Practice address
117 Newbridge Rd
Hicksville, NY 11801-3908
Phone
(516) 942-5800
Fax
(516) 298-8786
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Kauser Yasmeen, M.D.NPI 1679519656
Title
President
Phone
(516) 942-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

117 Newbridge Rd
Hicksville, NY 11801-3908

Mailing address

117 Newbridge Rd
Hicksville, NY 11801-3908
Phone (516) 942-5800

Other practice location 1

100 Newbridge Rd
Suite 1& 2
Hicksville, NY 11801-3963
Phone (516) 942-5800

Other practice location 2

100 Newbridge Rd
Suite 1& 2
Hicksville, NY 11801-3963
Phone (516) 942-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000931 NY Part B Supplier - Clinic/Group Practice 8325027139 Receives reassigned benefits from 1 practitioner
Practice locations: Hicksville, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1019092Hicksville Medical Care117 Newbridge Rd, Hicksville, NY 11801Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

117 Newbridge Rd
Hicksville, NY 11801
Phone (516) 942-5800

100 Newbridge Rd
Ste 1
Hicksville, NY 11801
Phone (516) 942-5800

100 Newbridge Rd
Ste 1AND2
Hicksville, NY 11801
Phone (516) 942-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1720170400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013908",
            "telephone_number": "516-942-5800",
            "fax_number": "516-298-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NEWBRIDGE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013908",
            "telephone_number": "516-942-5800",
            "fax_number": "516-298-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Newbridge Rd",
            "address_2": "SUITE 1& 2",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013963",
            "country_code": "US",
            "telephone_number": "516-942-5800",
            "fax_number": "516-942-0745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Newbridge Rd",
            "address_2": "SUITE 1& 2",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118013963",
            "country_code": "US",
            "telephone_number": "516-942-5800",
            "fax_number": "516-942-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HICKSVILLE MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "YASMEEN",
        "authorized_official_first_name": "KAUSER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-942-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.