IMMADULLAH HUSSAINI PA-C
NPI 1508629676
Physician Assistant in Jamaica, NY

Q: What is Immadullah Hussaini's NPI number?

The NPI number for Immadullah Hussaini is 1508629676. It was assigned to this individual provider in the NPPES registry on February 1, 2024.

Q: What is Immadullah Hussaini's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 01, 2024PECOS Enrolled

9420 GUY R BREWER BLVD, JAMAICA, NY 11451(718) 262-2000 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Immadullah Hussaini Pa-c NPPES

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

IMMADULLAH HUSSAINI PA-C (NPI 1508629676) is an individual physician assistant in Jamaica, New York and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508629676

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameIMMADULLAH HUSSAINICredential: PA-C

Location Address9420 GUY R BREWER BLVDJamaica, NY 11451-0001

Mailing Address1515 Pennsylvania Ave Apt 15bBrooklyn, NY 11239-2622 · (347) 439-0348

Phone(718) 262-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1508629676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9420 GUY R BREWER BLVD, Jamaica, NY 11451

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immadullah Hussaini Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173043460

PECOS Enrollment IDI20250217001815

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11451 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

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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 20

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

LUDMA DELVA

Physician Assistant