Active NPI
Mojdeh Hussaini
- Acute Care Nurse Practitioner
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 432460
- Practice address
- 10201 66TH Rd
Forest Hills, NY 11375-2029 - Phone
- (718) 830-4000
- NPI assigned
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 432460 | NY | Primary |
Addresses
Primary practice location
10201 66TH Rd
Forest Hills, NY 11375-2029
Mailing address
10201 66TH Rd
Forest Hills, NY 11375-2029
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 Beach 115TH St
Rockaway Park, NY 11694-2408
Phone (718) 474-6400
1608 Stillwell Ave
Brooklyn, NY 11223-1028
Phone (718) 236-5757
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| My Medical PC | Current | Accepting new patients | |
| Ilm Medical Care PLLC | Current | Accepting new patients | |
| Urban Family Practice PC | Past | Accepting new patients | |
| Peyman Younesi MD PLLC | Past | Accepting new patients |
Locations
600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458
3438 Bell Blvd
Ste 301
Bayside, NY 11361
147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204
2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700
1608 Stillwell Ave
Brooklyn, NY 11223
Phone (718) 208-5389
4646 Fairport Nine Mile Point Rd
Fairport, NY 14450
Phone (585) 377-0350
353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
128 Beach 115th St
Rockaway Park, NY 11694
Phone (718) 474-6400
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 5
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.
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- In Home Supportive Care Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1801511704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10201 66TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 66TH RD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113752029",
"telephone_number": "718-830-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSAINI",
"first_name": "MOJDEH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "432460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.