Individual provider Active NPI

Rehana Rinky Alam, DO, DPM

  • Family Medicine Physician
  • Glen Oaks, NY
National Provider Identifier
1508295189
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332594-01 Issued in NY
Practice address
26402 Hillside Ave
Glen Oaks, NY 11004-1738
Phone
(929) 460-6313
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X P84857 NY
Family Medicine Physician 207Q00000X 332594-01 NY Primary

Addresses

Primary practice location

26402 Hillside Ave
Glen Oaks, NY 11004-1738

Mailing address

10 Empire CT
Dix Hills, NY 11746-6704
Phone (917) 280-7656

Other practice location 1

147 Beach Rd Ste A
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

Other names 1

  • Dr. Rehana Alam Other name

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
I20250128002977 NY Practitioner - Internal Medicine 8224356738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meeting House Lane Medical Practice PCGroup PAC ID 6800972589, 125 clinicians

Practice addresses (Care Compare)

147 Beach Rd
Suite a
Westhampton Beach, NY 11978-1733
Phone (631) 288-7746

1755 Deer Park Ave
Deer Park, NY 11729-5207
Phone (917) 280-7656

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332594-01NYMDFamily Medicine Physician
P84857NYMDPrimary Podiatric Medicine Podiatrist
006693NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alam Medical, PC CurrentSince Feb 1, 2025 Accepting new patients
Meeting House Lane Medical Practice PC CurrentSince Jan 21, 2025 Accepting new patients
Total Foot and Ankle Corp. Current Accepting new patients

Locations

1755 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-7246

26402 Hillside Ave
Glen Oaks, NY 11004
Phone (516) 344-5553

325 Meeting House Ln
Ste 403
Southampton, NY 11968
Phone (631) 283-2100

147 Beach Rd
Ste D
Westhampton Beach, NY 11978
Phone (631) 283-0918

147 Beach Rd
Ste A
Westhampton Beach, NY 11978
Phone (631) 288-7746

Networks

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

Interoperability endpoints

  • Direct secure messaging: rehana.alam.1@14448.direct.athenahealth.com
  • Direct secure messaging: rehana.alam.p3@direct.shproviders.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1508295189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EMPIRE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466704",
            "telephone_number": "917-280-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26402 HILLSIDE AVE",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041738",
            "telephone_number": "929-460-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Beach Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Westhampton Beach",
            "state": "NY",
            "postal_code": "119781733",
            "country_code": "US",
            "telephone_number": "631-288-7746",
            "fax_number": "631-288-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALAM",
        "first_name": "REHANA",
        "middle_name": "RINKY",
        "name_prefix": "Dr.",
        "credential": "DO, DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "P84857",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "332594-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REHANA",
            "last_name": "ALAM",
            "prefix": "DR.",
            "credential": "DPM, DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

Verify at the official NPI Registry.