Albert Rabizadeh, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

040529-1 Issued in NY

Practice address

2202 Grand Concourse
Bronx, NY 10457-2000

Phone

(718) 365-6389

NPI assigned

Jul 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1427257666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20006 45TH DR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613016",
            "telephone_number": "718-365-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572000",
            "telephone_number": "718-365-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIZADEH",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040529-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01500412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Rabinowich, M.D.
• Naomi Lisa Rabinowitz-Buchanan, LCSW-R
• Dina Rabinowitz
• Michael Ray Rabinowitz, M.D.
• Marco Rabis, M.D.
• Michelle Rabizadeh
• Besijana Rabushaj, PHARM D
• Fakete Rabushaj
• Abhiram Rachamadugu
• Shailaja Racherla, MD

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.

Verify at the official NPI Registry.