Organization Active NPI

Rabbat Extended Management LLC

  • Internal Medicine Physician
  • Roslyn, NY
National Provider Identifier
1174942213
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RABBAT EXTENDED MANAGEMENT LLC
Practice address
18 Shrub Hollow Rd
Roslyn, NY 11576-3108
Phone
(718) 205-0287
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Dr. Ahmed Rabbat, M.D.
Title
Owner
Phone
(718) 205-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X NY Primary

Addresses

Primary practice location

18 Shrub Hollow Rd
Roslyn, NY 11576-3108

Mailing address

18 Shrub Hollow Rd
Roslyn, NY 11576-3108
Phone (718) 205-0287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1174942213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763108",
            "telephone_number": "718-205-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763108",
            "telephone_number": "718-205-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABBAT EXTENDED MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "RABBAT",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-205-0287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.