Individual provider Active NPI

Mohammad Rahman, MD

  • Internal Medicine Physician
  • Hollis, NY
National Provider Identifier
1295859023
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222035 Issued in NY
Practice address
19620 Hillside Ave
Hollis, NY 11423-2159
Phone
(646) 463-1245
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 222035 NY Primary

Addresses

Primary practice location

19620 Hillside Ave
Hollis, NY 11423-2159

Mailing address

8520 Radnor St
Jamaica, NY 11432-2326
Phone (646) 463-1245

Other practice location 1

8538 168th Pl
Jamaica, NY 11432-2638
Phone (212) 369-0500

Other identifiers 1

IdentifierTypeStateIssuer
222035MedicaidNY

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
I20050315000902 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3173578853 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ritecare Medical Office P.C CurrentSince Jun 17, 2016 Accepting new patients
Health Care Choices Ny Inc CurrentSince Oct 1, 2024 Accepting new patients
North Shore-Lij Medical PC Internal Medicine PastSince Oct 13, 2024 Accepting new patients

Locations

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

2110 Borden Ave
Long Island City, NY 11101
Phone (212) 533-8400

Networks

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

Organizations & group practices 3

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1295859023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 RADNOR ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114322326",
            "telephone_number": "646-463-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19620 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232159",
            "telephone_number": "646-463-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8538 168th Pl",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114322638",
            "country_code": "US",
            "telephone_number": "212-369-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222035",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

Verify at the official NPI Registry.