Active NPI
Nadiyah Rahaman, APRN
- Pediatric Nurse Practitioner
- Union, NJ
National Provider Identifier
1306467014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ14868500
- Practice address
- 2840 Morris Ave
Union, NJ 07083-4851 - Phone
- (882) 445-3738
- NPI assigned
- May 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 757715 | NY | |
| Nurse Practitioner | 363L00000X | 9019 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ14868500 | NJ | Primary |
Addresses
Primary practice location
2840 Morris Ave
Union, NJ 07083-4851
Mailing address
2840 Morris Ave
Union, NJ 07083-4851
Phone (888) 244-5373
Other practice location 1
76 New Britain Ave
Hartford, CT 06106-3305
Phone (860) 547-0970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
379 Campus Dr
Somerset, NJ 08873-1161
66 W Gilbert St
Tinton Falls, NJ 07701-4947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 757715 | NY | MD | Registered Nurse |
| 9019 | CT | MD | Nurse Practitioner |
| 26NJ14868500 | NJ | MD | Pediatric Nurse Practitioner |
Organizations & group practices 1
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.
-
- Children's Rehabilitation Hospital
- New Brunswick, NJ
- NPI 1396886297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1306467014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2840 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834851",
"telephone_number": "888-244-5373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 MORRIS AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070834851",
"telephone_number": "882-445-3738"
}
],
"practiceLocations": [
{
"address_1": "76 New Britain Ave",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063305",
"country_code": "US",
"telephone_number": "860-547-0970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHAMAN",
"first_name": "NADIYAH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "757715",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "9019",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ14868500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.