Individual provider Active NPI

Sheikh Moshiul Hoque, M.D.

  • Psychiatry Physician
  • Amityville, NY
National Provider Identifier
1932512852
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
288986 Issued in NY
Practice address
400 Sunrise Hwy
Amityville, NY 11701-2508
Phone
(678) 468-2862
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 288986 NY
Psychiatry Physician 2084P0800X 288986 NY Primary

Addresses

Primary practice location

400 Sunrise Hwy
Amityville, NY 11701-2508

Mailing address

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone (678) 468-2862

Other practice location 1

1309-1311 Foster Ave
Brooklyn, NY 11230
Phone (718) 282-0010

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL northwell.edu Health Information Exchange (HIE)
CONNECT URL northwell.edu Health Information Exchange (HIE)

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
I20180327002251 NY Practitioner - Psychiatry 8628330859 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288986NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Long Island Home CurrentSince Mar 1, 2020 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 1, 2018 Accepting new patients
The Long Island Home CurrentSince Mar 1, 2020 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Apr 1, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 1, 2018 Accepting new patients
Brooklyn Center for Families in Crisis PastSince Jan 1, 2012 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Apr 1, 2018 Accepting new patients

Locations

400 Sunrise Hwy
Amityville, NY 11701
Phone (631) 264-4000

102 Pilling St
Brooklyn, NY 11207
Phone (718) 602-1000

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Rm 1355
Brooklyn, NY 11212

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

Organizations & group practices 7

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1932512852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "678-468-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "678-468-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309-1311 Foster Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11230",
            "country_code": "US",
            "telephone_number": "718-282-0010",
            "fax_number": "718-693-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOQUE",
        "first_name": "SHEIKH",
        "middle_name": "MOSHIUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "288986",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "288986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northwell.edu",
            "affiliation": "N",
            "endpointDescription": "Patient information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Sunrise Hwy",
            "city": "Amityville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117012508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "northwell.edu",
            "affiliation": "N",
            "endpointDescription": "Patient information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Sunrise Hwy",
            "city": "Amityville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117012508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.