Organization Active NPI

Mohammad Rahman Medical Care PC

  • Internal Medicine Physician
  • Jamaica Estates, NY
National Provider Identifier
1245621069
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOHAMMAD RAHMAN MEDICAL CARE PC
Practice address
170-12 Highland Ave, Unit 101
Jamaica Estates, NY 11432
Phone
(718) 526-0700
Fax
(718) 526-0800
NPI assigned
Feb 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mohammed Mahmudur Rahman, MD
Title
President
Phone
(718) 864-8882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

170-12 Highland Ave, Unit 101
Jamaica Estates, NY 11432

Mailing address

183-10 Danly Road
Jamaica Estates, NY 11432
Phone (718) 526-0700

Other identifiers 1

IdentifierTypeStateIssuer
01902643MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1245621069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183-10 DANLY ROAD",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-526-0700",
            "fax_number": "718-526-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170-12 HIGHLAND AVE, UNIT 101",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-526-0700",
            "fax_number": "718-526-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD RAHMAN MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "MAHMUDUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-864-8882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01902643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Estates, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.