Active NPI
Damali M. Wilson, N.P.
- Pediatric Nurse Practitioner
- Brooklyn, NY
National Provider Identifier
1225357007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN1016778
- Practice address
- 9708 Seaview Ave
Brooklyn, NY 11236-5516 - Phone
- (718) 444-0520
- Fax
- (718) 444-1898
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN1016778 | DC | Primary |
Addresses
Primary practice location
9708 Seaview Ave
Brooklyn, NY 11236-5516
Mailing address
135 Mineola Blvd FL 2
Mineola, NY 11501-3917
Phone (917) 310-3371
Other practice location 1
111 Michigan Ave NW
Washington, DC 20010-2916
Phone (202) 476-5000
Other names 1
- Damali M. Rahman
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
135 Mineola Blvd
Mineola, NY 11501-3917
438 Hancock St
Brooklyn, NY 11233-1017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Touch Medical PC | Current | Accepting new patients | |
| Hicksville Family Medical Care, PLLC | Past | Accepting new patients |
Locations
9708 Seaview Ave
Ste C
Brooklyn, NY 11236
9708 Seaview Ave
Brooklyn, NY 11236
Phone (718) 226-4300
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.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1437567690
-
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1225357007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 MINEOLA BLVD FL 2",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013917",
"telephone_number": "917-310-3371",
"fax_number": "516-938-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9708 SEAVIEW AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365516",
"telephone_number": "718-444-0520",
"fax_number": "718-444-1898"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "DAMALI",
"middle_name": "M.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "DC",
"license": "RN1016778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAMALI",
"last_name": "RAHMAN",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.