Individual provider Active NPI

Rabin Rozehzadeh, M.D.

  • Family Medicine Physician
  • South Plainfield, NJ
National Provider Identifier
1376508432
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07940100 Issued in NJ
Practice address
1810 Park Ave
South Plainfield, NJ 07080-5522
Phone
(908) 226-1810
Fax
(908) 226-1833
NPI assigned
Apr 19, 2006
Last updated
Sep 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07940100 NJ Primary

Addresses

Primary practice location

1810 Park Ave
South Plainfield, NJ 07080-5522

Mailing address

1810 Park Ave
South Plainfield, NJ 07080-5522
Phone (908) 226-1810

Other identifiers 1

IdentifierTypeStateIssuer
0079197MedicaidNJ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000194 NJ Practitioner - Family PracticePractitioner - General PracticePractitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Diagnostic RadiologyPractitioner - Pediatric MedicinePractitioner - Geriatric MedicinePractitioner - Addiction MedicinePractitioner - Preventive Medicine 9537186804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Allergy/Immunology, Diagnostic Radiology, General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Park Ave
South Plainfield, NJ 07080-5522
Phone (908) 226-1810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Primary Care, P.a. Family Medicine CurrentSince Apr 1, 2008 Accepting new patients

Locations

1810 Park Ave
South Plainfield, NJ 07080
Phone (908) 226-1810

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEBCA/Endpoint/ABEBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1376508432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805522",
            "telephone_number": "908-226-1810",
            "fax_number": "908-226-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZEHZADEH",
        "first_name": "RABIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07940100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079197",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Plainfield, NJ

Sources for this page

Verify at the official NPI Registry.