Individual provider Active NPI

Brad A Rahaman, M.D.

  • Emergency Medicine Physician
  • Audubon, NJ
National Provider Identifier
1043473424
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
262043 Issued in NY
Practice address
41 E Kings Hwy FL 1
Audubon, NJ 08106-1216
Phone
(888) 982-8594
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 262043 NY Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 262043 NY

Addresses

Primary practice location

41 E Kings Hwy FL 1
Audubon, NJ 08106-1216

Mailing address

133 Beach 116TH St Apt 6C
Rockaway Park, NY 11694-2447
Phone (202) 746-8130

Other practice location 1

170 E 77th St Lowr Level
New York, NY 10075-1912
Phone (646) 687-7600

Other practice location 2

945 5th Ave
New York, NY 10021-2661
Phone (646) 687-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110818000641 NY Practitioner - Emergency Medicine 0244400745 Reassigns benefits to 8 organizations
I20201013001789 NY Practitioner - Geriatric Medicine 0244400745 Reassigns benefits to 1 organization
I20221209000359 TX Practitioner - Emergency Medicine 0244400745 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262043NYMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Current Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Nov 29, 2022 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 14, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Feb 19, 2024 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP CurrentSince Mar 1, 2020 Accepting new patients
Kingsbrook Medical Associates PC Emergency Medicine CurrentSince Jun 3, 2023 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Nov 18, 2020 Accepting new patients
Meeting House Lane Medical Practice PC CurrentSince Jun 15, 2024 Accepting new patients
St. Francis Hospital CurrentSince Jan 1, 2022 Accepting new patients
St Francis Hospital United States Catholic Conference CurrentSince Jan 1, 2022 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jan 14, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Feb 19, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jan 15, 2023 Accepting new patients
Interfaith Emergency Medicine, P.C. Emergency Medicine CurrentSince Jun 14, 2024 Accepting new patients
St. Joseph Hospital CurrentSince Jan 1, 2022 Accepting new patients
Kingsbrook Medical Associates, PC Current Accepting new patients
Maimonides Medical Center Current Accepting new patients
Priority Private Medical Care, PC Past Accepting new patients

Locations

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

240 Meeting House Ln
Southampton, NY 11968
Phone (631) 726-0409

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: brad.rahaman.1@25843.direct.athenahealth.com
  • Direct secure messaging: bradrahaman@mai.allscriptsdirect.net
  • Direct secure messaging: brad.rahaman.p1@direct.shproviders.nextgenshare.com
  • Direct secure messaging: bar9031@direct.nyp.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1043473424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BEACH 116TH ST APT 6C",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942447",
            "telephone_number": "202-746-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E KINGS HWY FL 1",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061216",
            "telephone_number": "888-982-8594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 E 77th St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751912",
            "country_code": "US",
            "telephone_number": "646-687-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100212661",
            "country_code": "US",
            "telephone_number": "646-687-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHAMAN",
        "first_name": "BRAD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "262043",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "262043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

Verify at the official NPI Registry.