MUZAMMIL HAQUE
NPI 1174391874
Nurse Practitioner - Family in Corona, NY

Active since December 13, 2023PECOS EnrolledAccepts Medicare Assignment
3712 108TH ST, CORONA, NY 11368(646) 379-2005 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 15, 2024, Feb 8, 2024, Dec 13, 2023 (3 updates tracked since 2023).

About Muzammil Haque NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUZAMMIL HAQUE (NPI 1174391874) is an individual family provider in Corona, New York, licensed in New York (F11230497) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174391874
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMUZAMMIL HAQUE
Location Address3712 108TH STCorona, NY 11368-2025
Mailing Address3712 108th StCorona, NY 11368-2025 · (646) 379-2005
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 13, 2023
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1174391874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F11230497
3712 108TH ST, Corona, NY 11368

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Muzammil Haque is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274079835
PECOS Enrollment IDI20240719001854
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Muzammil Haque reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
3716 108TH ST
Corona, NY 11368
  • Reassigned Medicare billing, New York enrollment
  • 197 clinicians in this Medicare group
Internal Medicine
6122G FRESH POND RD
Middle Village, NY 11379
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
Urgent Care
68 GRAHAM AVE
Brooklyn, NY 11206
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
Internal Medicine
2094 MERRICK AVE
Merrick, NY 11566
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiologic Technologist (Sonography)
3712 108TH ST
CORONA, NY 11368
Radiologic Technologist (Radiography)
3712 108TH ST
CORONA, NY 11368
Pediatrics
3712 108TH ST
CORONA, NY 11368
Physician Assistant
3712 108TH ST
CORONA, NY 11368
Nutritionist
3712 108TH ST
CORONA, NY 11368
Family Medicine
3712 108TH ST
CORONA, NY 11368
Physician Assistant
3712 108TH ST
CORONA, NY 11368
Physician Assistant
3712 108TH ST
CORONA, NY 11368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muzammil Haque's NPI number?

The NPI number for Muzammil Haque is 1174391874. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Muzammil Haque located?

Muzammil Haque practices at 3712 108th St, Corona, NY 11368. The listed phone number is (646) 379-2005.

What is Muzammil Haque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Muzammil Haque enrolled in Medicare?

Yes. Muzammil Haque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Muzammil Haque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muzammil Haque reassigns Medicare benefits to 4 organizations: Urban Health Plan, Inc. (Corona, NY), Josef Schenker MD PC (Middle Village, NY), Modern Physician Services PC (Brooklyn, NY) and 37 Main Street Medical Care PC (Merrick, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Muzammil Haque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Muzammil Haque was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.