Ghulam Rabbani, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

P100032 Issued in NY

Practice address

317 Broadway Ste B
Amityville, NY 11701-2770

Phone

(631) 598-4897

NPI assigned

Apr 25, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Mohammad S Hussain MD PC

  • Internal Medicine Physician
  • Amityville, NY
  • NPI 1548591167
  NPD
• Integrated Diagnostic Imaging & Cardiology of Staten Island P.C.

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1174537948
  NPD (past)

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1699339549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BROADWAY STE B",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012770",
            "telephone_number": "631-598-4897",
            "fax_number": "631-464-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 BROADWAY STE B",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012770",
            "telephone_number": "631-598-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBANI",
        "first_name": "GHULAM",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "P100032",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "P100032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iasia Quick, LMSW
• Michael Quinland, PH.D.
• Angela Marie Quinn
• Bridget Quinn
• Jennifer Nicole Quinn
• Jeanne Racioppi
• Faisal Muhammad Rafiq, M.D.
• Sabrina A Rahman
• Junaid Rajani, DDS, MS
• Amanda Rae Ramalhete, MS, RDN, CDN

• Medical Physician Assistant in Amityville, NY
• Providers in Amityville, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.