Active NPI
Mohammad M Rahman
- Specialist
- Brooklyn, NY
National Provider Identifier
1720141310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 108464-1
- Legal business name
- MOHAMMAD M RAHMAN
- Practice address
- 602 Schenectady Ave
Brooklyn, NY 11203-1821 - Phone
- (718) 953-5700
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad M Rahman
- Title
- Sole Proprietor
- Phone
- (718) 953-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 108464-1 | NY | Primary |
Addresses
Primary practice location
602 Schenectady Ave
Brooklyn, NY 11203-1821
Mailing address
PO Box 586
Mineola, NY 11501-0586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00191924 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1720141310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 586",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115010586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 SCHENECTADY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031821",
"telephone_number": "718-953-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD M RAHMAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "718-953-5700"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "108464-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00191924",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.