Organization Active NPI

Jamal Rahaman GYN Oncologist PLLC

  • Gynecologic Oncology Physician
  • New York, NY
National Provider Identifier
1184945578
Registry record updated Jun 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
JAMAL RAHAMAN GYN ONCOLOGIST PLLC
Practice address
1136 5TH Ave
Suite 1B
New York, NY 10128-0122
Phone
(212) 427-1415
Fax
(212) 427-1420
NPI assigned
Jun 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2010

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

Authorized official

Name
Dr. Jamal Rahaman, M.D.NPI 1740232941
Title
Director
Phone
(212) 427-1415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

1136 5TH Ave
Suite 1B
New York, NY 10128-0122

Mailing address

1136 5TH Ave
Suite 1B
New York, NY 10128-0122
Phone (212) 427-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000756 NY Part B Supplier - Clinic/Group Practice 3274722400 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276992000000",
    "number": "1184945578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 5TH AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280122",
            "telephone_number": "212-427-1415",
            "fax_number": "212-427-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 5TH AVE",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280122",
            "telephone_number": "212-427-1415",
            "fax_number": "212-427-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL RAHAMAN GYN ONCOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-06-20",
        "status": "A",
        "authorized_official_last_name": "RAHAMAN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-427-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.