Individual provider Active NPI

Nooruddin Rahmatullah Tejani, M.D.,

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Brooklyn, NY
National Provider Identifier
1396747135
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
206210 Issued in NY
Practice address
Suny Downstate Medical Center,
450 Clarkson Ave., Box 1228
Brooklyn, NY 11203
Phone
(718) 270-8241
NPI assigned
Aug 11, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 206210 NY Primary

Addresses

Primary practice location

Suny Downstate Medical Center,
450 Clarkson Ave., Box 1228
Brooklyn, NY 11203

Mailing address

24 Berkley LN
Syosset, NY 11791-6130
Phone (516) 921-2369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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
I20040322000571 NY Practitioner - Emergency Medicine 1355232232 Reassigns benefits to 3 organizations
I20250407001568 NY Practitioner - Pediatric Medicine 1355232232 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Emergency Medical Services, PC CurrentSince Mar 1, 2025 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 1, 2025 Accepting new patients
Suny Health Science Center at Bklyn CurrentSince Oct 1, 2014 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Jan 1, 2022 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 1, 2014 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Past Accepting new patients

Locations

445 Lenox Rd
#B
Brooklyn, NY 11203
Phone (718) 245-4790

450 Clarkson Ave
#1228
Brooklyn, NY 11203
Phone (718) 245-3318

450 Clarkson Ave
#59
Brooklyn, NY 11203
Phone (718) 270-2078

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 826-4900

840 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 493-0300

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Networks

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396747135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BERKLEY LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916130",
            "telephone_number": "516-921-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY DOWNSTATE MEDICAL CENTER,",
            "address_2": "450 CLARKSON AVE., BOX 1228",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJANI",
        "first_name": "NOORUDDIN",
        "middle_name": "RAHMATULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "206210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.