Active NPI
Monzila Rahman, MD PLLC
- Obstetrics Physician
- Jackson Heights, NY
National Provider Identifier
1720367204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 240237
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monzila Hassen Rahman, M.D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03380370 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics Physician
- Glen Cove, NY
- NPI 1235169657
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.