Individual provider Active NPI

Monzila Hassen Rahman, MD

  • Obstetrics Physician
  • Glen Cove, NY
National Provider Identifier
1235169657
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
240237 Issued in NY
Practice address
2 Brookdale CT
Glen Cove, NY 11542-1962
Phone
(347) 573-1322
Fax
(718) 672-9311
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 240237 NY Primary

Addresses

Primary practice location

2 Brookdale CT
Glen Cove, NY 11542-1962

Mailing address

3728 77TH St
Jackson Heights, NY 11372-6630
Phone (718) 672-9310

Other identifiers 1

IdentifierTypeStateIssuer
02799806MedicaidNY

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
I20061009000083 NY Practitioner - Obstetrics/Gynecology 5092711424 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240237NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monzila Rahman, MD PLLC Obstetrics CurrentSince Aug 1, 2011 Accepting new patients
Strong Obstetrics-Gynecology Group PastSince Aug 26, 2018 Accepting new patients

Locations

303 Beverley Rd
Ste PR3
Brooklyn, NY 11218
Phone (718) 247-7226

3728 77th St
Jackson Heights, NY 11372
Phone (718) 335-7378

3755 77th St
Ste 1J
Jackson Heights, NY 11372
Phone (718) 651-8414

9211 35th Ave
Ste 1E
Jackson Hts, NY 11372
Phone (418) 429-4555

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1235169657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 77TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726630",
            "telephone_number": "718-672-9310",
            "fax_number": "718-672-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROOKDALE CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421962",
            "telephone_number": "347-573-1322",
            "fax_number": "718-672-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MONZILA",
        "middle_name": "HASSEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "240237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02799806",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.