Organization Active NPI

Ahmadur Rahman MD PC

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1699199307
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
249342 Issued in NY
Legal business name
AHMADUR RAHMAN MD PC
Practice address
17943A Hillside Ave
Jamaica, NY 11432-4631
Phone
(718) 262-8830
NPI assigned
Feb 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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

Authorized official

Name
Dr. Ahmadur Rahman, M.D.NPI 1922261759
Title
Owner
Phone
(718) 262-8830

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
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 249342 NY Primary

Addresses

Primary practice location

17943A Hillside Ave
Jamaica, NY 11432-4631

Mailing address

17943A Hillside Ave
Jamaica, NY 11432-4631
Phone (718) 262-8830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140804001654 NY Part B Supplier - Clinic/Group Practice 3779700406 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; Jamaica, NY

National Provider Directory

National Provider Directory

Locations

18016 Wexford Ter
Ste Cc
Jamaica, NY 11432
Phone (718) 657-6434

160 3rd Ave
Ste 1C
New York, NY 10003
Phone (212) 673-9091

160 3rd Ave
New York, NY 10003
Phone (212) 673-9091

Practitioners & affiliated clinicians

Practitioners 6

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": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1699199307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17943A HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324631",
            "telephone_number": "718-262-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17943A HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324631",
            "telephone_number": "718-262-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMADUR RAHMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "AHMADUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-262-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.