Individual provider Active NPI

Husam K Rimawi, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1063519304
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
142234 Issued in NY
Practice address
6317 4TH Ave
Park Ridge Family Health
Brooklyn, NY 11220-4922
Phone
(718) 907-8100
Fax
(718) 492-8614
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 142234 NY Primary

Addresses

Primary practice location

6317 4TH Ave
Park Ridge Family Health
Brooklyn, NY 11220-4922

Mailing address

6317 4TH Ave
Park Ridge Family Health
Brooklyn, NY 11220-4922
Phone (718) 907-8100

Other identifiers 1

IdentifierTypeStateIssuer
00585855MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Lutheran Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1063519304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6317 4TH AVE",
            "address_2": "PARK RIDGE FAMILY HEALTH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204922",
            "telephone_number": "718-907-8100",
            "fax_number": "718-492-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 4TH AVE",
            "address_2": "PARK RIDGE FAMILY HEALTH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204922",
            "telephone_number": "718-907-8100",
            "fax_number": "718-492-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMAWI",
        "first_name": "HUSAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "142234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00585855",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.