Individual provider Active NPI

Rounak Jahan Rahman, M.D.

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1427210293
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
262923 Issued in NY
Practice address
2300 Westchester Ave
Bronx, NY 10462-5072
Phone
(718) 960-1569
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262923 NY Primary

Addresses

Primary practice location

2300 Westchester Ave
Bronx, NY 10462-5072

Mailing address

954 N 4TH St
New Hyde Park, NY 11040-2925
Phone (516) 437-2783

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000065 NY Practitioner - Internal Medicine 7810210853

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Sep 1, 2018 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Sep 1, 2018 Accepting new patients

Locations

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1427210293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 N 4TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402925",
            "telephone_number": "516-437-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625072",
            "telephone_number": "718-960-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "ROUNAK",
        "middle_name": "JAHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.