Organization Active NPI

Ibrahim Y Rabadi MD PC

  • Pediatrics Physician
  • Catskill, NY
National Provider Identifier
1720071376
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
183822 Issued in NY
Legal business name
IBRAHIM Y RABADI MD PC
Practice address
35 S Jefferson Ave
First Floor
Catskill, NY 12414-2109
Phone
(518) 943-3844
Fax
(518) 943-5900
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Dr. Ibrahim Y Rabadi, M.D.NPI 1972596526
Title
Medical Director
Phone
(518) 943-3844

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 183822 NY Primary

Addresses

Primary practice location

35 S Jefferson Ave
First Floor
Catskill, NY 12414-2109

Mailing address

35 S Jefferson Ave
First Floor
Catskill, NY 12414-2109
Phone (518) 943-3844

Other identifiers 1

IdentifierTypeStateIssuer
02310227MedicaidNY

National Provider Directory

National Provider Directory

Locations

35 S Jefferson Ave
#1
Catskill, NY 12414
Phone (518) 943-3844

Practitioners & affiliated clinicians

Practitioners 1

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": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1720071376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JEFFERSON AVE",
            "address_2": "FIRST FLOOR",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142109",
            "telephone_number": "518-943-3844",
            "fax_number": "518-943-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JEFFERSON AVE",
            "address_2": "FIRST FLOOR",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124142109",
            "telephone_number": "518-943-3844",
            "fax_number": "518-943-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM Y RABADI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-943-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "183822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02310227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.