Individual provider Active NPI

Ferdousi Yasmin

  • Internal Medicine Physician
  • Hollis, NY
National Provider Identifier
1760219018
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P130955 Issued in NY
Practice address
8828 197TH St Apt 1
Hollis, NY 11423-2048
Phone
(347) 658-9622
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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 P130955 NY Primary

Addresses

Primary practice location

8828 197TH St Apt 1
Hollis, NY 11423-2048

Mailing address

8828 197TH St Apt 1
Hollis, NY 11423-2048
Phone (347) 658-9622

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
I20241007001870 NY Practitioner - Internal Medicine 0143751792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Briarwood Medical Services PCGroup PAC ID 3173622594, 4 clinicians

Practice addresses (Care Compare)

8834 161St St
Jamaica, NY 11432-4040
Phone (646) 541-1344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P130955NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1770780926 CurrentSince May 5, 2025 Accepting new patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Fresh Meadows Physician Practice PLLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

257 State St
Batavia, NY 14020
Phone (585) 343-1300

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

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

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

1 Long Beach Rd
Island Park, NY 11558
Phone (516) 432-0300

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

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

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1760219018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8828 197TH ST APT 1",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232048",
            "telephone_number": "347-658-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8828 197TH ST APT 1",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232048",
            "telephone_number": "347-658-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASMIN",
        "first_name": "FERDOUSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P130955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.