Organization Active NPI

Hafeez Rehman MD PLLC

  • Primary Care Clinic/Center
  • Amsterdam, NY
National Provider Identifier
1508335423
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HAFEEZ REHMAN MD PLLC
Practice address
2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone
(518) 627-0469
Fax
(518) 627-0469
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Hafeez Ur Rehman, MDNPI 1396761474
Title
Doctor
Phone
(518) 627-0469

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2510 Riverfront Ctr
Amsterdam, NY 12010-4614

Mailing address

2510 Riverfront Ctr
Amsterdam, NY 12010-4614
Phone (518) 627-0469

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190613003012 NY Part B Supplier - Clinic/Group Practice 1052644663 Receives reassigned benefits from 1 practitioner
Practice locations: Amsterdam, NY

National Provider Directory

National Provider Directory

Locations

2510 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 627-0469

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11750/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1508335423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469",
            "fax_number": "518-627-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-627-0469",
            "fax_number": "518-627-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFEEZ REHMAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "HAFEEZ",
        "authorized_official_middle_name": "UR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "518-627-0469",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.