Individual provider Active NPI

Abu Masudur Rahman

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1154923142
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Practice address
1423 Bedford Ave
Brooklyn, NY 11216-3840
Phone
(718) 577-5298
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1423 Bedford Ave
Brooklyn, NY 11216-3840

Mailing address

1423 Bedford Ave
Brooklyn, NY 11216-3840
Phone (718) 577-5298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001003122 NY Practitioner - Nurse Practitioner 4981100666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elk Medical PLLCGroup PAC ID 0547310526, 3 clinicians

Practice addresses (Care Compare)

486 Lincoln PL
Brooklyn, NY 11238-6202
Phone (718) 773-0883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Medical PLLC CurrentSince Jul 1, 2025 Accepting new patients
Starling Diagnostics LLC Past Accepting new patients

Locations

1423 Bedford Ave
Brooklyn, NY 11216
Phone (718) 230-5885

486 Lincoln Pl
Brooklyn, NY 11238
Phone (347) 212-7685

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGFCD

Organizations & group practices 2

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1154923142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163840",
            "telephone_number": "718-577-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112163840",
            "telephone_number": "718-577-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ABU",
        "middle_name": "MASUDUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.