NPIMap

Organization Active NPI

Iraj Rahmati MD PC

  • Ophthalmology Physician
  • New Milford, CT
National Provider Identifier
1033424940
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
IRAJ RAHMATI MD PC
Practice address
15 Old Park LN
New Milford, CT 06776-2530
Phone
(860) 355-1550
Fax
(860) 355-0165
NPI assigned
Aug 16, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Iraj Rahmati, MDNPI 1023045408
Title
Physician Surgeon
Phone
(860) 355-1550

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

15 Old Park LN
New Milford, CT 06776-2530

Mailing address

15 Old Park LN
New Milford, CT 06776-2530
Phone (860) 355-1550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000014 CT Part B Supplier - Clinic/Group Practice 0749306165 Receives reassigned benefits from 1 practitioner
Practice locations: New Milford, CT

National Provider Directory

National Provider Directory

Locations

15 Old Park Lane Rd
New Milford, CT 06776
Phone (860) 354-3945

Practitioners & affiliated clinicians

Practitioners 10

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": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1033424940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD PARK LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762530",
            "telephone_number": "860-355-1550",
            "fax_number": "860-355-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 OLD PARK LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762530",
            "telephone_number": "860-355-1550",
            "fax_number": "860-355-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRAJ RAHMATI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "RAHMATI",
        "authorized_official_first_name": "IRAJ",
        "authorized_official_title_or_position": "PHYSICIAN SURGEON",
        "authorized_official_telephone_number": "860-355-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.