Individual provider Active NPI

Nurur M Rahman, M. D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1194839324
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
237161 Issued in NY
Practice address
506 Malcolm X Blvd
MLK 9TH FL, Psych Admin
New York, NY 10037-1802
Phone
(212) 939-3282
Fax
(212) 939-3275
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 237161 NY Primary

Addresses

Primary practice location

506 Malcolm X Blvd
MLK 9TH FL, Psych Admin
New York, NY 10037-1802

Mailing address

506 Malcolm X Blvd
MLK 9TH Floor, Psych Admin
New York, NY 10037-1802
Phone (212) 939-2740

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
I20061211000005 NY Practitioner - PsychiatryPractitioner - Neurology 8820097470 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Department of Psychiatry FPPGroup PAC ID 0042115487, 34 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-8165

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237161NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downtown Bronx Medical Associates PC CurrentSince Apr 6, 2016 Accepting new patients
Harlem Medical Associates PC CurrentSince Jan 1, 2011 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Aug 1, 2022 Accepting new patients
Maimonides Department of Psychiatry FPP Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Dec 7, 2024 Accepting new patients
MMC OB-GYN Faculty Practice Plan Past Accepting new patients
Maimonides Medical Center Past Accepting new patients
Maimonides Medical Center Past Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

920 48th St
Brooklyn, NY 11219
Phone (718) 283-7800

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

506 Malcolm X Blvd
Fl 9
New York, NY 10037
Phone (212) 939-3282

506 Malcolm X Blvd
#522
New York, NY 10037
Phone (212) 491-1583

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1194839324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "MLK 9TH FLOOR, PSYCH ADMIN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-2740",
            "fax_number": "212-939-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 MALCOLM X BLVD",
            "address_2": "MLK 9TH FL, PSYCH ADMIN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-3282",
            "fax_number": "212-939-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "NURUR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "237161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.