Active NPI
Sara Rahman
- Specialist
- East Elmhurst, NY
National Provider Identifier
1114342177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2333557
- Practice address
- 3244 83Rd St
East Elmhurst, NY 11370-2008 - Phone
- (518) 428-4995
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2333557 | NY | |
| Specialist | 174400000X | 2333557 | NY | Primary |
Addresses
Primary practice location
3244 83Rd St
East Elmhurst, NY 11370-2008
Mailing address
3244 83Rd St
East Elmhurst, NY 11370-2008
Phone (518) 428-4995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2333557 | Other | NY | DEPARTMENT OF EDUCATION TEACHER ID NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2333557 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1114342177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 83RD ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113702008",
"telephone_number": "518-428-4995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3244 83RD ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113702008",
"telephone_number": "518-428-4995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "2333557",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2333557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF EDUCATION TEACHER ID NUMBER",
"identifier": "2333557",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.