Individual provider Active NPI

Atm Yousuf, M.D.

  • Internal Medicine Physician
  • Jackson Heights, NY
National Provider Identifier
1982701512
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212144 Issued in NY
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

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01916150MedicaidNY

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
I20041130001003 NY Practitioner - Internal Medicine 0042275117 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
212144NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atm Yousuf Physician PC Single Specialty CurrentSince Apr 2, 2004 Accepting new patients
State of New York Comptrollers Office Single Specialty CurrentSince Jun 1, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jun 1, 2019 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.

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

Verify at the official NPI Registry.