Active NPI
Mahmoud Moussa Hassanein, MD
- Pediatric Infectious Diseases Physician
- Flushing, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 200336
- Practice address
- 5645 Main St
New York Hospital of Queens, Department of Pediatrics.
Flushing, NY 11355-5045 - Phone
- (718) 670-1033
- Fax
- (718) 240-6602
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 200336 | NY | Primary |
Addresses
Primary practice location
5645 Main St
New York Hospital of Queens, Department of Pediatrics.
Flushing, NY 11355-5045
Mailing address
224 95TH St
Brooklyn, NY 11209-6810
Phone (718) 748-4630
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200336 | NY | MD | Pediatric Infectious Diseases Physician |
| 003361 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Past | Accepting new patients |
Locations
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1335 Linden Blvd
Brooklyn, NY 11212
Phone (718) 240-5100
1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
-
dba Newyork-Presbyterian Medical Group/Queens
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1346380870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1801812094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 95TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096810",
"telephone_number": "718-748-4630",
"fax_number": "718-240-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"address_2": "NEW YORK HOSPITAL OF QUEENS, DEPARTMENT OF PEDIATRICS.",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-670-1033",
"fax_number": "718-240-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSANEIN",
"first_name": "MAHMOUD",
"middle_name": "MOUSSA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "NY",
"license": "200336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.