Individual provider Active NPI

Paul Jason Husserl, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1821249574
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
266320 Issued in NY
Practice address
195 Montague St FL 1
Brooklyn, NY 11201-3628
Phone
(718) 422-8000
Fax
(718) 422-8265
NPI assigned
Sep 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 266320 NY
Obstetrics & Gynecology Physician 207V00000X 266320 NY Primary
Gynecology Physician 207VG0400X 266320 NY

Addresses

Primary practice location

195 Montague St FL 1
Brooklyn, NY 11201-3628

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

101 Pennsylvania Avenue
Brooklyn, NY 11207-2428
Phone (718) 240-2000

Other practice location 2

175 Jericho Tpke
Syosset, NY 11791-4532
Phone (516) 364-8780

Other practice location 3

1575 Hillside Ave
New Hyde Park, NY 11040-2521
Phone (516) 328-0022

Other practice location 4

173 Mineola Blvd Ste 200
Mineola, NY 11501-2530
Phone (516) 741-4321

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
I20140911001509 NY Practitioner - Obstetrics/Gynecology 2769601491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square Care Medical Group LLPGroup PAC ID 7012938434, 70 clinicians
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

173 Mineola Blvd
Suite 200
Mineola, NY 11501-2530
Phone (516) 741-4321

195 Montague St
Brooklyn, NY 11201-3628
Phone (718) 422-8000

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as group
Quality
88.76
Promoting interoperability
100
Improvement activities
40
Cost
69.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266320NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Nov 3, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Nov 3, 2025 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

55 Water St
Fl 2
New York, NY 10041

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: phusserl56385@direct.acpny.com

Organizations & group practices 3

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1821249574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MONTAGUE ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013628",
            "telephone_number": "718-422-8000",
            "fax_number": "718-422-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Pennsylvania Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112072428",
            "country_code": "US",
            "telephone_number": "718-240-2000",
            "fax_number": "718-240-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914532",
            "country_code": "US",
            "telephone_number": "516-364-8780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110402521",
            "country_code": "US",
            "telephone_number": "516-328-0022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Mineola Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115012530",
            "country_code": "US",
            "telephone_number": "516-741-4321",
            "fax_number": "516-535-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSERL",
        "first_name": "PAUL",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "266320",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "266320",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "266320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.