Individual provider Active NPI

Rehana Rab, APN

  • Adult Health Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1568806271
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00442400 Issued in NJ
Practice address
101 Berkshire Ave
Paterson, NJ 07502-1872
Phone
(973) 928-2715
Fax
(201) 621-6102
NPI assigned
Apr 24, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00442400 NJ Primary

Addresses

Primary practice location

101 Berkshire Ave
Paterson, NJ 07502-1872

Mailing address

246 Clifton Avenue
Ste 4
Clifton, NJ 07011
Phone (973) 928-2715

Other practice location 1

246 Clifton Ave
Ste 4
Clifton, NJ 07011-1900
Phone (973) 928-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140828000285 NJ Practitioner - Nurse Practitioner 6406074772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gmed Healthcare PCGroup PAC ID 8022292564, 6 clinicians

Practice addresses (Care Compare)

246 Clifton Ave
Suite 4
Clifton, NJ 07011-1953
Phone (973) 928-2715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gmed Healthcare PC CurrentSince Jan 1, 2015 Accepting new patients
Clifton Medical Clinic Inc PastSince Mar 16, 2021 Accepting new patients

Locations

246 Clifton Ave
Ste 4
Clifton, NJ 07011
Phone (973) 330-6765

124 Gregory Ave
Ste 102
Passaic, NJ 07055
Phone (973) 777-1132

466 Chamberlain Ave
#2
Paterson, NJ 07522

466 Chamberlain Ave
Ste 2
Paterson, NJ 07522
Phone (973) 928-2715

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568806271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CLIFTON AVENUE",
            "address_2": "STE 4",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07011",
            "telephone_number": "973-928-2715",
            "fax_number": "201-621-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BERKSHIRE AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075021872",
            "telephone_number": "973-928-2715",
            "fax_number": "201-621-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Clifton Ave",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070111900",
            "country_code": "US",
            "telephone_number": "973-928-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAB",
        "first_name": "REHANA",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00442400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.