Individual provider Active NPI

Hussain Al-Sullami, MSPT

  • Physical Therapist
  • Syosset, NY
National Provider Identifier
1821053232
Registry record updated Oct 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018804-1 Issued in NY
Practice address
6851 Jericho Tpke
Ste 235
Syosset, NY 11791
Phone
(516) 682-8560
Fax
(516) 682-8562
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy LLC 2 clinicians

Practice addresses (Care Compare)

140 Eileen Way
Suite 700
Syosset, NY 11791-5330
Phone (516) 682-8560

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110819000393 NY Practitioner - Physical Therapist in Private Practice 9032389531 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018804-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy, LLC Physical Therapist CurrentSince Jun 6, 2011 Accepting new patients

Locations

140 Eileen Way
Ste 700
Syosset, NY 11791
Phone (516) 682-8560

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 018804-1 NY Primary
Physical Therapist 225100000X 018804 NY

Addresses

NPPES NPI Registry

Primary practice location

6851 Jericho Tpke
Ste 235
Syosset, NY 11791

Mailing address

140 Eileen Way
Ste 700
Syosset, NY 11791-5301
Phone (516) 682-8560

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
QP7761OtherBLUE CROSS
0947494OtherCIGNA
P2783358OtherOXFORD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2016.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475280000000",
    "number": "1821053232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EILEEN WAY",
            "address_2": "STE 700",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915301",
            "telephone_number": "516-682-8560",
            "fax_number": "516-682-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 JERICHO TPKE",
            "address_2": "STE 235",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-682-8560",
            "fax_number": "516-682-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SULLAMI",
        "first_name": "HUSSAIN",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018804-1",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "QP7761",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0947494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2783358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.