Organization Active NPI

Monzila Rahman, MD PLLC

  • Obstetrics Physician
  • Jackson Heights, NY
National Provider Identifier
1720367204
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
240237 Issued in NY
Legal business name
MONZILA RAHMAN, MD PLLC
Practice address
9211 35TH Ave
Suite 1E
Jackson Heights, NY 11372-5866
Phone
(718) 429-4555
Fax
(718) 429-4556
NPI assigned
Aug 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Monzila Hassen Rahman, M.DNPI 1235169657
Title
Owner/Physician
Phone
(718) 323-5500

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
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 240237 NY Primary

Addresses

Primary practice location

9211 35TH Ave
Suite 1E
Jackson Heights, NY 11372-5866

Mailing address

2 Brookdale CT
Glen Cove, NY 11542-1962

Other identifiers 1

IdentifierTypeStateIssuer
03380370MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110824000310 NY Part B Supplier - Clinic/Group Practice 5991975203 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY; Ozone Park, NY; Jamaica, NY; Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

3755 77th St
Ste 1J
Jackson Heights, NY 11372
Phone (718) 651-8414

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": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1720367204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROOKDALE CT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9211 35TH AVE",
            "address_2": "SUITE 1E",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725866",
            "telephone_number": "718-429-4555",
            "fax_number": "718-429-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONZILA RAHMAN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MONZILA",
        "authorized_official_middle_name": "HASSEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "718-323-5500",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "240237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03380370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.