Organization Active NPI

New York Pulmonary & Sleep Medicine Consultant PLLC

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1346441714
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
218215 Issued in NY
Legal business name
NEW YORK PULMONARY & SLEEP MEDICINE CONSULTANT PLLC
Practice address
428 Graham Aveune
Brooklyn, NY 11211
Phone
(718) 383-3514
NPI assigned
May 31, 2007
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Dr. Mohamed K Rahman, M.DNPI 1942244348
Title
Physician
Phone
(212) 928-2100

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X 218215 NY
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 218215 NY Primary

Addresses

Primary practice location

428 Graham Aveune
Brooklyn, NY 11211

Mailing address

20 Kensington Cir
Manhasset, NY 11030-4106
Phone (718) 383-3514

Other identifiers 2

IdentifierTypeStateIssuer
03248226MedicaidNY
WXRWW1OtherNYMEDICARE - EMPIRE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080110000138 NY Part B Supplier - Clinic/Group Practice 4587744990 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; Brooklyn, NY
O20080805000156 NY Part B Supplier - Clinic/Group Practice 4587744990 Receives reassigned benefits from 1 practitioner
Practice locations: Arverne, NY; Astoria, NY

National Provider Directory

National Provider Directory

Locations

428 Graham Ave
Brooklyn, NY 11211
Phone (718) 383-3514

3180 41st St
Long Is City, NY 11103
Phone (718) 278-5100

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1346441714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KENSINGTON CIR",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110304106",
            "telephone_number": "718-383-3514",
            "fax_number": "718-383-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 GRAHAM AVEUNE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-383-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PULMONARY & SLEEP MEDICINE CONSULTANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-928-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "218215",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "218215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03248226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - EMPIRE",
            "identifier": "WXRWW1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.