Individual provider Active NPI

Musammat Rounak Jahan, MD

  • Internal Medicine Physician
  • Ozone Park, NY
National Provider Identifier
1699188680
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
285335 Issued in NY
Practice address
7721 101St Ave
Ozone Park, NY 11416-1915
Phone
(718) 322-4014
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 285335 NY Primary

Addresses

Primary practice location

7721 101St Ave
Ozone Park, NY 11416-1915

Mailing address

7721 101St Ave Apt 1
Ozone Park, NY 11416-1948
Phone (718) 322-4014

Other practice location 1

27111 76th Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100 ext. 4925

Other identifiers 1

IdentifierTypeStateIssuer
1699188680MedicaidNY

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
I20160915001365 NY Practitioner - Internal Medicine 6406142538 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2281

7721 101St Ave
Ozone Park, NY 11416-1948
Phone (917) 881-6177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connect Medical P.C. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 12, 2016 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Aug 12, 2016 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Aug 12, 2016 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 12, 2016 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Aug 12, 2016 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince May 27, 2017 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince May 27, 2017 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

111 E 210th St
Bronx, NY 10467

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFGDBD/Endpoint/FFGDBD

Organizations & group practices 9

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": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1699188680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 101ST AVE APT 1",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161948",
            "telephone_number": "718-322-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161915",
            "telephone_number": "718-322-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27111 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401436",
            "country_code": "US",
            "telephone_number": "718-289-2100 x4925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHAN",
        "first_name": "MUSAMMAT",
        "middle_name": "ROUNAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "285335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699188680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.