=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407278229
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RITECARE MEDICAL OFFICE P.C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/14/2014
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8538 168TH PL
-----------------------------------------------------
City | JAMAICA
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11432-2638
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-390-0612
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14 CAPRI DR
-----------------------------------------------------
City | ROSLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11576-3205
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-390-0612
-----------------------------------------------------
Fax | 718-480-6652
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT.
-----------------------------------------------------
Name | MOHD A HOSSAIN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 347-390-0612
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | 257463
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------