NPIMap

Individual provider Active NPI

Dewan S Rahman, D.O

  • Adult Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1427312446
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
276123 Issued in NY
Practice address
100 Hospital Rd
East Patchogue, NY 11772-8809
Phone
(631) 447-3010
NPI assigned
Jun 25, 2012
Last updated
May 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 276123 NY Primary

Addresses

Primary practice location

100 Hospital Rd
East Patchogue, NY 11772-8809

Mailing address

100 Hospital Rd 203
East Patchogue, NY 11772-8814
Phone (631) 475-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drahman509268@nyumc.direct-ci.com

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
I20151020000713 NY Practitioner - Family Practice 1759690415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

157 E Woodside Ave
Patchogue, NY 11772-1423
Phone (631) 475-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Brookhaven Memorial Hospital Medical Center CurrentSince May 26, 2017 Accepting new patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince May 26, 2017 Accepting new patients

Locations

515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600

157 E Woodside Ave
Patchogue, NY 11772
Phone (631) 265-7000

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 5

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 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1427312446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD 203",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900",
            "fax_number": "631-447-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-447-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "DEWAN",
        "middle_name": "S",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "276123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drahman509268@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "100 Hospital Rd",
            "city": "East Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117728809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.