Individual provider Active NPI

Haitham S Rabadi, EMT

  • Taxi
  • Ardsley, NY
National Provider Identifier
1609374172
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
W202310C Issued in NY
Practice address
140 Huntley Dr
Ardsley, NY 10502-1223
Phone
(914) 591-5404
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Taxi 344600000X W202310C NY Primary

Addresses

Primary practice location

140 Huntley Dr
Ardsley, NY 10502-1223

Mailing address

923 Saw Mill River Road
283
Ardsley, NY 10502
Phone (914) 591-5404

Other identifiers 2

IdentifierTypeStateIssuer
570770814OtherNYNYS DMV
370954OtherNYNY STATE DEPARTMENT OF HEALTH EMT - B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
W202310CNYMDTaxi

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1609374172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 SAW MILL RIVER ROAD",
            "address_2": "283",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-591-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HUNTLEY DR",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021223",
            "telephone_number": "914-591-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADI",
        "first_name": "HAITHAM",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NY",
            "license": "W202310C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DMV",
            "identifier": "570770814",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE DEPARTMENT OF HEALTH EMT - B",
            "identifier": "370954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.