Individual provider Active NPI

Rubina A Zaman, MD

  • Pediatrics Physician
  • Wyoming, PA
National Provider Identifier
1528051406
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD050336L Issued in PA
Practice address
913 Wyoming Ave Rear
Wyoming, PA 18644-1328
Phone
(570) 693-3005
Fax
(570) 287-4683
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD050336L PA Primary

Addresses

Primary practice location

913 Wyoming Ave Rear
Wyoming, PA 18644-1328

Mailing address

913 Wyoming Ave Rear
Wyoming, PA 18644-1328
Phone (570) 693-3005

Other identifiers 1

IdentifierTypeStateIssuer
0018373860001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100224000809 PA Practitioner - Pediatric Medicine 0840334124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

913 Wyoming Ave
Rear
Wyoming, PA 18644-1328
Phone (570) 693-3005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD050336LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubina a Zaman, MD LLC Pediatrics CurrentSince Nov 14, 2009 Accepting new patients

Locations

913 Wyoming Ave
Rear
Wyoming, PA 18644
Phone (570) 693-3005

Organizations & group practices 1

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1528051406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WYOMING AVE REAR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441328",
            "telephone_number": "570-693-3005",
            "fax_number": "570-287-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 WYOMING AVE REAR",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441328",
            "telephone_number": "570-693-3005",
            "fax_number": "570-287-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMAN",
        "first_name": "RUBINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD050336L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018373860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, PA

Sources for this page

Verify at the official NPI Registry.