Active NPI
Atm Yousuf, M.D.
- Internal Medicine Physician
- Jackson Heights, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 212144
- Practice address
- 3729 72ND St FL 1
Jackson Heights, NY 11372-6126 - Phone
- (718) 205-6633
- Fax
- (717) 205-6564
- NPI assigned
- Sep 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 212144 | NY | Primary |
Addresses
Primary practice location
3729 72ND St FL 1
Jackson Heights, NY 11372-6126
Mailing address
3 Livingston PL
Dix Hills, NY 11746-7817
Phone (516) 728-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01916150 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3716 73Rd St
Suite 202
Jackson Heights, NY 11372-6216
Phone (718) 205-6633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212144 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atm Yousuf Physician PC | Single Specialty | Current | Accepting new patients |
| State of New York Comptrollers Office | Single Specialty | Current | Accepting new patients |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| New York Community Hospital of Brooklyn, Inc. | Single Specialty | Past | Accepting new patients |
Locations
44 Holland Ave
Fl 4
Albany, NY 12208
2576 31st St
Astoria, NY 11102
Phone (718) 726-1909
3716 73rd St
Ste 202
Jackson Heights, NY 11372
Phone (718) 205-1720
888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543
8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
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Single Specialty
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- Tarrytown, NY
- NPI 1285775825
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1205840055
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1982701512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LIVINGSTON PL",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467817",
"telephone_number": "516-728-7000",
"fax_number": "718-205-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3729 72ND ST FL 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726126",
"telephone_number": "718-205-6633",
"fax_number": "717-205-6564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUSUF",
"first_name": "ATM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "212144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01916150",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.