Active NPI
Mahboob U Rahman, MD
- Rheumatology Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA06184100
- Practice address
- 125 Paterson St
Room/Floor 5200a
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-7217
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA06184100 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St
Room/Floor 5200a
New Brunswick, NJ 08901-1962
Mailing address
PO Box 2697
Vineland, NJ 08362-2697
Phone (856) 794-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013937650001 | Medicaid | PA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2848 S Delsea Dr
Suite 2C
Vineland, NJ 08360-7042
Phone (856) 749-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06184100 | NJ | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Services of South Jersey LLC | Rheumatology | Current | Accepting new patients |
| Arthritis & Rheumatology Associates of South Jersey PC | Rheumatology | Current | Accepting new patients |
Locations
1100 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-3630
2848 S Delsea Dr
Ste 3
Vineland, NJ 08360
Phone (856) 696-0404
2848 S Delsea Dr
Ste 2C
Vineland, NJ 08360
Phone (856) 749-9090
Interoperability endpoints
- mahboob.rahman.p1@direct.arthritisrheum.nextgenshare.com
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Vineland, NJ
- NPI 1255344594
-
- Infusion Therapy Clinic/Center
- Vineland, NJ
- NPI 1497463178
Rheumatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1770511818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2697",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083622697",
"telephone_number": "856-794-9090",
"fax_number": "856-794-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "ROOM/FLOOR 5200A",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-7217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHMAN",
"first_name": "MAHBOOB",
"middle_name": "U",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA06184100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013937650001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.