Organization Active NPI

Ammir Rabadi Physician, PC

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1407184674
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMMIR RABADI PHYSICIAN, PC
Practice address
637 Yonkers Ave
Yonkers, NY 10704-2630
Phone
(914) 476-8855
Fax
(914) 476-2033
NPI assigned
Nov 30, 2009
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Mr. Ammir S Rabadi, MDNPI 1578746350
Title
Owner
Phone
(914) 476-8855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

637 Yonkers Ave
Yonkers, NY 10704-2630

Mailing address

637 Yonkers Ave
Yonkers, NY 10704-2630
Phone (914) 476-8855

Other identifiers 1

IdentifierTypeStateIssuer
02962389MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100708000770 NY Part B Supplier - Clinic/Group Practice 4880725852 Receives reassigned benefits from 2 practitioners
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Locations

637 Yonkers Ave
Yonkers, NY 10704
Phone (914) 423-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1407184674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042630",
            "telephone_number": "914-476-8855",
            "fax_number": "914-476-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 YONKERS AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107042630",
            "telephone_number": "914-476-8855",
            "fax_number": "914-476-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMIR RABADI PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "AMMIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-476-8855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02962389",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.