NPIMap

Individual provider Active NPI

Sultana Yasmin Rahman, M.D

  • Family Medicine Physician
  • Patchogue, NY
National Provider Identifier
1386601359
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236464 Issued in NY
Practice address
31 Oak St
Suite # 3
Patchogue, NY 11772-2841
Phone
(718) 240-8600
NPI assigned
Apr 26, 2006
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 236464 NY Primary

Addresses

Primary practice location

31 Oak St
Suite # 3
Patchogue, NY 11772-2841

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 638-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070324000018 NY Practitioner - Family Practice 4880798206 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Magnum Physicians PCGroup PAC ID 2668619628, 2 clinicians

Practice addresses (Care Compare)

20707 Hillside Ave
Queens Village, NY 11427-1732
Phone (718) 464-9727

31 Oak St
Patchogue, NY 11772-2841
Phone (631) 444-5858

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236464NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnum Physicians PC CurrentSince Oct 1, 2020 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Apr 17, 2006 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jul 1, 2013 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jul 1, 2013 Accepting new patients
Brookdale Family Care Center, Inc. Family Medicine CurrentSince Apr 17, 2006 Accepting new patients
University Hospital at Stony Brook Current Accepting new patients
Stony Brook Family and Preventive Medicine, University Faculty Practic Family Medicine CurrentSince Nov 15, 2016 Accepting new patients

Locations

10101 Avenue D
Brooklyn, NY 11236
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

4 Smith Haven Mall
Ste 202
Lake Grove, NY 11755
Phone (631) 444-5858

31 Oak St
Patchogue, NY 11772
Phone (631) 444-5858

31 Oak St
Ste 3
Patchogue, NY 11772
Phone (631) 758-3911

20707 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 464-9727

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

151 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 385-2920

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sultana.rahman@direct.stonybrookmedicine.edu

Organizations & group practices 7

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 7

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1386601359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-638-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE # 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722841",
            "telephone_number": "718-240-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SULTANA",
        "middle_name": "YASMIN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.