Healthcare Provider Details

I. General information

NPI: 1407278229
Provider Name (Legal Business Name): RITECARE MEDICAL OFFICE P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8538 168TH PL
JAMAICA NY
11432-2638
US

IV. Provider business mailing address

14 CAPRI DR
ROSLYN NY
11576-3205
US

V. Phone/Fax

Practice location:
  • Phone: 347-390-0612
  • Fax:
Mailing address:
  • Phone: 347-390-0612
  • Fax: 718-480-6652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number257463
License Number StateNY

VIII. Authorized Official

Name: MOHD A HOSSAIN
Title or Position: PRESIDENT.
Credential: M.D.
Phone: 347-390-0612