Individual provider Active NPI

Hossien Dahdouli, APN

  • Adult Health Nurse Practitioner
  • Mohegan Lake, NY
National Provider Identifier
1821719410
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310921 Issued in NY
Practice address
3550 Lexington Ave
Mohegan Lake, NY 10547-1273
Phone
(914) 528-2000
NPI assigned
Sep 12, 2022
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ01361600 NJ
Adult Health Nurse Practitioner 363LA2200X 310921 NY Primary

Addresses

Primary practice location

3550 Lexington Ave
Mohegan Lake, NY 10547-1273

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

430 Schooleys Mountain Rd
Hackettstown, NJ 07840-4039
Phone (872) 231-3162

Other practice location 2

676 Pelham Rd
New Rochelle, NY 10805-1038
Phone (718) 360-8083

Other identifiers 1

IdentifierTypeStateIssuer
07973086MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221102003212 NJ Practitioner - Nurse Practitioner 4183091218 Reassigns benefits to 4 organizations
I20230721001916 NY Practitioner - Nurse Practitioner 4183091218 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Allied Medical of Ny PCGroup PAC ID 9335590751, 11 clinicians
Physiatry Practice of New York, PCGroup PAC ID 6709230576, 4 clinicians

Practice addresses (Care Compare)

1 Old Country Rd
Suite 285
Carle Place, NY 11514-1824
Phone (973) 942-6005

1433 Ringwood Ave
Haskell, NJ 07420-1520
Phone (201) 654-6397

676 Pelham Rd
New Rochelle, NY 10805-1038
Phone (877) 749-7428

Merit-based Incentive Payment System (MIPS)

Final score
82.88 of 100Reported as group
Quality
81.99
Promoting interoperability
95
Improvement activities
20
Cost
69.63

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Nurse Practitioner CurrentSince Dec 1, 2023 Accepting new patients
Physiatry Practice of New York, PC CurrentSince Aug 23, 2024 Accepting new patients
Omar Osman MD PLLC CurrentSince Jun 10, 2023 Accepting new patients
Allied Medical of Ny PC CurrentSince Dec 1, 2023 Accepting new patients
National Health Rehabilitation LLC CurrentSince Sep 1, 2024 Accepting new patients
Ihpnj ER LLC Past Accepting new patients
World Chiropractic Incorporated Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

221 County Rd
Cresskill, NJ 07626
Phone (201) 487-7246

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

1433 Ringwood Ave
Haskell, NJ 07420
Phone (973) 258-5557

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

439 Bellevue Ave
Trenton, NJ 08618
Phone (609) 396-2446

510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555

69 Maple Rd
West Milford, NJ 07480
Phone (973) 697-5640

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

620 Sleepy Hollow Rd
Ste 208
Briarcliff Manor, NY 10510

707 Throggs Neck Expy
Bronx, NY 10465
Phone (718) 430-0003

691 92nd St
Brooklyn, NY 11228
Phone (718) 567-1000

1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005

3550 Lexington Ave
Mohegan Lake, NY 10547
Phone (800) 695-1030

31 Lockwood Ave
New Rochelle, NY 10801
Phone (732) 979-3004

40 Keogh Ln
New Rochelle, NY 10805
Phone (914) 636-6200

676 Pelham Rd
New Rochelle, NY 10805
Phone (708) 806-1434

77 Jackson Ave
Scarsdale, NY 10583
Phone (914) 472-3200

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

12 Tibbits Ave
White Plains, NY 10606
Phone (914) 287-7200

785 Mamaroneck Ave
White Plains, NY 10605
Phone (914) 597-2324

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1821719410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "281-724-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471273",
            "telephone_number": "914-528-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 SCHOOLEYS MOUNTAIN RD",
            "address_purpose": "LOCATION",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404039",
            "country_code": "US",
            "telephone_number": "872-231-3162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "676 Pelham Rd",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108051038",
            "country_code": "US",
            "telephone_number": "718-360-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHDOULI",
        "first_name": "HOSSIEN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01361600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07973086",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

Verify at the official NPI Registry.