Individual provider Active NPI

Mahboob U Rahman, MD

  • Rheumatology Physician
  • New Brunswick, NJ
National Provider Identifier
1770511818
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA06184100 Issued in NJ
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

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1013937650001MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615000292 NJ Practitioner - Rheumatology 2567493471 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MA06184100NJMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Services of South Jersey LLC Rheumatology CurrentSince Nov 13, 2022 Accepting new patients
Arthritis & Rheumatology Associates of South Jersey PC Rheumatology CurrentSince Jun 17, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.