Active NPI
Roya Rahimi, PA-C, CNMT
- Surgical Physician Assistant
- Franklin Lakes, NJ
National Provider Identifier
1760880470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00352500
- Practice address
- 784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306 - Phone
- (201) 560-0711
- Fax
- (201) 560-0712
- NPI assigned
- Dec 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00352500 | NJ | Primary |
Addresses
Primary practice location
784 Franklin Ave
Suite 250
Franklin Lakes, NJ 07417-1306
Mailing address
14 Krakow St
Garfield, NJ 07026-1407
Phone (631) 383-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150424001243 | NJ | Practitioner - Physician Assistant | 4981923919 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kayal Medical Group, LLC
Practice addresses (Care Compare)
260 Old Hook Rd
Suite 401
Westwood, NJ 07675-3123
Phone (844) 777-0910
543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910
Hospital & facility affiliations
- Hackensack Meridian Health Pascack Valley Medical
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- rrahimi191571@ahs.direct-ci.com
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1760880470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KRAKOW ST",
"city": "GARFIELD",
"state": "NJ",
"postal_code": "070261407",
"telephone_number": "631-383-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "784 FRANKLIN AVE",
"address_2": "SUITE 250",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171306",
"telephone_number": "201-560-0711",
"fax_number": "201-560-0712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHIMI",
"first_name": "ROYA",
"credential": "PA-C, CNMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00352500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.