Individual provider Active NPI

Naeem U Rahman, MD

  • Urology Physician
  • Bridgewater, NJ
National Provider Identifier
1366536245
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA11060300 Issued in NJ
Practice address
1125 Rte 22 Ste 265
Bridgewater, NJ 08807-2939
Phone
(908) 947-7015
Fax
(908) 947-7006
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2311601 NY
Urology Physician 208800000X 25MA11060300 NJ Primary

Addresses

Primary practice location

1125 Rte 22 Ste 265
Bridgewater, NJ 08807-2939

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Other identifiers 1

IdentifierTypeStateIssuer
0091942MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041222000644 NY Practitioner - Urology 9537127592 Reassigns benefits to 1 organization
I20210811001068 NJ Practitioner - Urology 9537127592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1125 US Hwy 22
Suite 170
Bridgewater, NJ 08807-2939
Phone (908) 947-7011

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 441-1161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231160NYMDLicensed Practical Nurse
25MA11060300NJMDUrology Physician
2311601NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jul 1, 2004 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Urology CurrentSince Jul 1, 2004 Accepting new patients
Practice Associates Medical Group CurrentSince Aug 13, 2021 Accepting new patients

Locations

1125 US Highway 22
Ste 265
Bridgewater, NJ 08807
Phone (908) 522-5045

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

33 Overlook Rd
Ste 301
Summit, NJ 07901
Phone (908) 277-1122

111 Marys Ave
Ste 4
Kingston, NY 12401
Phone (845) 339-4900

111 Marys Ave
Kingston, NY 12401
Phone (845) 339-4900

50 Eastdale Ave N
Poughkeepsie, NY 12603
Phone (845) 437-5000

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

1 Columbia St
Ste 390
Poughkeepsie, NY 12601
Phone (845) 437-5000

Interoperability endpoints

  • Direct secure messaging: nrahman418608@direct.ahsys.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1366536245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 RTE 22 STE 265",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072939",
            "telephone_number": "908-947-7015",
            "fax_number": "908-947-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "NAEEM",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "2311601",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA11060300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

Verify at the official NPI Registry.