Organization Active NPI

Atm Yousuf Physician PC

  • Internal Medicine Physician
  • Westbury, NY
National Provider Identifier
1992829824
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212144 Issued in NY
Legal business name
ATM YOUSUF PHYSICIAN PC
Practice address
862 Westbury Rd
Westbury, NY 11590-5844
Phone
(718) 777-1112
NPI assigned
Mar 17, 2007
Last updated
May 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Atm Yousuf, MDNPI 1982701512
Title
President
Phone
(718) 777-1112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212144 NY Primary

Addresses

Primary practice location

862 Westbury Rd
Westbury, NY 11590-5844

Mailing address

862 Westbury Rd
Westbury, NY 11590-5844
Phone (718) 777-1112

Other identifiers 4

IdentifierTypeStateIssuer
P00273382OtherNYRR MEDICARE
DE1283OtherNYRR MEDICARE GROUP#
01916150MedicaidNY
04075OtherNYMEDICARE GHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000064 NY Part B Supplier - Clinic/Group Practice 3678537578 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson Heights, NY; Plainview, NY; Bethpage, NY

National Provider Directory

National Provider Directory

Locations

2576 31st St
Astoria, NY 11102
Phone (718) 726-1909

3716 73rd St
Ste 202
Jackson Heights, NY 11372
Phone (718) 205-1720

528 Old Country Rd
Plainview, NY 11803
Phone (516) 822-4706

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1992829824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 WESTBURY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905844",
            "telephone_number": "718-777-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 WESTBURY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905844",
            "telephone_number": "718-777-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATM YOUSUF PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "YOUSUF",
        "authorized_official_first_name": "ATM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-777-1112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00273382",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#",
            "identifier": "DE1283",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01916150",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GHI",
            "identifier": "04075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.