Individual provider Active NPI

Mahmoud Moussa Hassanein, MD

  • Pediatric Infectious Diseases Physician
  • Flushing, NY
National Provider Identifier
1801812094
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
200336 Issued in NY
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

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080531000015 NY Practitioner - Pediatric Medicine 0446320501 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200336NYMDPediatric Infectious Diseases Physician
003361NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Oct 31, 2015 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Nov 22, 2016 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Apr 28, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 31, 2015 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Nov 22, 2016 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.

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

Verify at the official NPI Registry.