Individual provider Active NPI

Yahya F Rasheed, M.D.

  • Pediatrics Physician
  • Prospect Park, NJ
National Provider Identifier
1174974141
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10599400 Issued in NJ
Practice address
240 N 8TH St
Prospect Park, NJ 07508-2002
Phone
(973) 942-2131
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 25MA10599400 NJ Primary

Addresses

Primary practice location

240 N 8TH St
Prospect Park, NJ 07508-2002

Mailing address

240 N 8TH St
Prospect Park, NJ 07508-2002
Phone (973) 942-2131

Other practice location 1

1414 Main Ave
Clifton, NJ 07011-2157
Phone (973) 772-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250521003810 NJ Practitioner - Pediatric Medicine 1658890777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Mar 17, 2025 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Future Pediatric Group Pediatrics PastSince Dec 5, 2021 Accepting new patients

Locations

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

703 Main St
Bldg 7TH
Paterson, NJ 07503
Phone (973) 754-3230

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Interoperability endpoints

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

Organizations & group practices 3

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1174974141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N 8TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082002",
            "telephone_number": "973-942-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N 8TH ST",
            "city": "PROSPECT PARK",
            "state": "NJ",
            "postal_code": "075082002",
            "telephone_number": "973-942-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070112157",
            "country_code": "US",
            "telephone_number": "973-772-6999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "YAHYA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10599400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, NJ

Sources for this page

Verify at the official NPI Registry.