Individual provider Active NPI

Rifat Zaman

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1174368880
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-P128346-01 Issued in NY
Practice address
353 Beach 48TH St
Far Rockaway, NY 11691-1120
Phone
(718) 471-5000
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-P128346-01 NY Primary

Addresses

Primary practice location

353 Beach 48TH St
Far Rockaway, NY 11691-1120

Mailing address

600 E Crescent Ave Ste N210
Upper Saddle River, NJ 07458-1846
Phone (347) 545-6059

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807002124 NY Practitioner - Internal Medicine 9133666233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilm Medical Care PLLCGroup PAC ID 2769610989, 37 clinicians

Practice addresses (Care Compare)

353 Beach 48TH St
Far Rockaway, NY 11691-1120
Phone (718) 471-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60-P128346-01NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince May 23, 2024 Accepting new patients
Silver Star Medical of CT PC Internal Medicine PastSince Jun 30, 2024 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

353 Beach 48th St
Far Rockaway, NY 11691
Phone (718) 471-5000

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": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1174368880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CRESCENT AVE STE N210",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581846",
            "telephone_number": "347-545-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BEACH 48TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911120",
            "telephone_number": "718-471-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "RIFAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-P128346-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.