Active NPI
Rabia Agha, MD
- Pediatric Infectious Diseases Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 239197
- Practice address
- 948 48TH St
Brooklyn, NY 11219-2918 - Phone
- (718) 283-8015
- Fax
- (718) 635-7235
- NPI assigned
- Nov 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E0015491 | NY | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 239197 | NY | Primary |
Addresses
Primary practice location
948 48TH St
Brooklyn, NY 11219-2918
Mailing address
977 48TH St
Brooklyn, NY 11219-2919
Phone (718) 283-8015
Other practice location 1
10 Union Square East
BIMC Dept of Pediatrics
New York, NY 10003
Phone (212) 844-1824
Other practice location 2
4802 10th Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02020473 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0015491 | NY | MD | Pediatrics Physician |
| 239197 | NY | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Faculty Practice Plan | Current | Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients |
Locations
948 48th St
Brooklyn, NY 11219
Phone (718) 283-7219
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
6010 Bay Pkwy
#9
Brooklyn, NY 11204
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- rabiaagha@mai.allscriptsdirect.net
- rabia.agha.p1@direct.mmc.nextgenshare.com
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1285648154
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1376524405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192919",
"telephone_number": "718-283-8015",
"fax_number": "718-635-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "948 48TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192918",
"telephone_number": "718-283-8015",
"fax_number": "718-635-7235"
}
],
"practiceLocations": [
{
"address_1": "10 Union Square East",
"address_2": "BIMC Dept of Pediatrics",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10003",
"country_code": "US",
"telephone_number": "212-844-1824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4802 10th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112192916",
"country_code": "US",
"telephone_number": "718-283-7475",
"fax_number": "718-635-6149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGHA",
"first_name": "RABIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "E0015491",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "NY",
"license": "239197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02020473",
"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 Feb 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.