Faan Medical Services PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

238298 Issued in NY

Legal business name

FAAN MEDICAL SERVICES PC

Practice address

16806 Hillside Ave
Jamaica, NY 11432-4341

Phone

(718) 739-7400

Fax

(718) 739-7413

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Khondeker Rahman, MDNPI 1306880547

Title

President

Phone

(718) 739-7400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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.

• Khondeker M. Rahman, MD

  • Pain Medicine (Anesthesiology) Physician
  • Williston Park, NY
  • NPI 1306880547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1073936308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 PARK AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961135",
            "telephone_number": "718-739-7400",
            "fax_number": "718-739-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16806 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324341",
            "telephone_number": "718-739-7400",
            "fax_number": "718-739-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAAN MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "KHONDEKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-739-7400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "238298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.