Organization Active NPI

Rubina a Zaman, MD LLC

  • Pediatrics Physician
  • Wyoming, PA
National Provider Identifier
1336470947
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD050336L Issued in PA
Legal business name
RUBINA A ZAMAN, MD LLC
Practice address
913 Wyoming Ave Rear
Wyoming, PA 18644-1328
Phone
(570) 693-3005
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Rubina A Zaman, MDNPI 1528051406
Title
Owner
Phone
(570) 693-3005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD050336L PA Primary

Addresses

Primary practice location

913 Wyoming Ave Rear
Wyoming, PA 18644-1328

Mailing address

913 Wyoming Ave Rear
Wyoming, PA 18644-1328
Phone (570) 693-3005

Other identifiers 1

IdentifierTypeStateIssuer
0014420340004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000816 PA Part B Supplier - Clinic/Group Practice 4385788660 Receives reassigned benefits from 1 practitioner
Practice locations: Wyoming, PA

National Provider Directory

National Provider Directory

Locations

913 Wyoming Ave
Rear
Wyoming, PA 18644
Phone (570) 693-3005

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": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1336470947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WYOMING AVE REAR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441328",
            "telephone_number": "570-693-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 WYOMING AVE REAR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441328",
            "telephone_number": "570-693-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINA A ZAMAN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "ZAMAN",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-693-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD050336L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014420340004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.