Individual provider Active NPI

MD Mashiur Rahman Majumder, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1699201012
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020828 Issued in NY
Practice address
2668 Pitkin Ave
Brooklyn, NY 11208-2630
Phone
(917) 725-0067
NPI assigned
May 4, 2017
Sex
Male
Sole proprietor
Yes

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
Physician Assistant 363A00000X 020828 NY Primary

Addresses

Primary practice location

2668 Pitkin Ave
Brooklyn, NY 11208-2630

Mailing address

2927 Valentine Ave
Apt 5C
Bronx, NY 10458-2627
Phone (917) 725-0067

Other practice location 1

20 Arlington Pl
Brooklyn, NY 11216-2002
Phone (718) 636-0100

Other practice location 2

450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 245-4708

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180330000353 NY Practitioner - Physician Assistant 7810266194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients
Jackson Medical, PLLC Past Accepting new patients

Networks

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

Organizations & group practices 3

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699201012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 VALENTINE AVE",
            "address_2": "APT 5C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104582627",
            "telephone_number": "917-725-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082630",
            "telephone_number": "917-725-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Arlington Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112162002",
            "country_code": "US",
            "telephone_number": "718-636-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-245-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJUMDER",
        "first_name": "MD",
        "middle_name": "MASHIUR RAHMAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.