Individual provider Active NPI

Maksuda Hossain, MD

  • Internal Medicine Physician
  • Altamont, NY
National Provider Identifier
1730868548
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-P122814-01 Issued in NY
Practice address
428 Ny- 146
Altamont, NY 12009
Phone
(518) 861-5141
NPI assigned
Jul 18, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 60-P122814-01 NY Primary

Addresses

Primary practice location

428 Ny- 146
Altamont, NY 12009

Mailing address

385 W Goldfinch Way
Chandler, AZ 85286-4554
Phone (803) 586-2321

Other practice location 1

989 Blossom Rd
Rochester, NY 14610-2251
Phone (585) 482-3500

Other practice location 2

3230 Church St
Valatie, NY 12184-2303
Phone (518) 758-6222

Other practice location 3

140 Main St
Poughkeepsie, NY 12601-3018
Phone (845) 454-7600

Other practice location 4

425 Beach Ave
Rochester, NY 14612-2011
Phone (585) 663-0930

Other practice location 5

1205 Delaware Ave
Buffalo, NY 14209-1401
Phone (716) 885-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231010003085 NY Practitioner - Internal Medicine 7618322744 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60-P122814-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Medical Associate PLLC Internal Medicine CurrentSince Aug 15, 2023 Accepting new patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Apr 2, 2024 Accepting new patients

Locations

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

1205 Delaware Ave
Buffalo, NY 14209
Phone (585) 663-6368

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

300 Community Dr
Manhasset, NY 11030

140 Main St
Poughkeepsie, NY 12601
Phone (845) 454-7600

425 Beach Ave
Rochester, NY 14612
Phone (585) 663-0930

989 Blossom Rd
Rochester, NY 14610
Phone (585) 482-3500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1730868548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W GOLDFINCH WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864554",
            "telephone_number": "803-586-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NY- 146",
            "city": "ALTAMONT",
            "state": "NY",
            "postal_code": "12009",
            "telephone_number": "518-861-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "989 Blossom Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146102251",
            "country_code": "US",
            "telephone_number": "585-482-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3230 Church St",
            "address_purpose": "LOCATION",
            "city": "Valatie",
            "state": "NY",
            "postal_code": "121842303",
            "country_code": "US",
            "telephone_number": "518-758-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Main St",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013018",
            "country_code": "US",
            "telephone_number": "845-454-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Beach Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146122011",
            "country_code": "US",
            "telephone_number": "585-663-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142091401",
            "country_code": "US",
            "telephone_number": "716-885-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MAKSUDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P122814-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamont, NY

Sources for this page

Verify at the official NPI Registry.