Organization Active NPI

Humayun Rashid Physician PC

  • Nuclear Cardiology Physician
  • Brooklyn, NY
National Provider Identifier
1790268514
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
9553 Issued in NY
Legal business name
HUMAYUN RASHID PHYSICIAN PC
Practice address
3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone
(718) 266-3413
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Yekaterina Ilina
Title
Office Manager
Phone
(718) 266-3413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X 9553 NY Primary

Addresses

Primary practice location

3514 Mermaid Ave
Brooklyn, NY 11224-1508

Mailing address

3514 Mermaid Ave
Brooklyn, NY 11224-1508
Phone (718) 266-3413

Other identifiers 1

IdentifierTypeStateIssuer
00832595MedicaidNY

National Provider Directory

National Provider Directory

Locations

3514 Mermaid Ave
Ste 1
Brooklyn, NY 11224
Phone (929) 800-5539

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": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1790268514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "718-266-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241508",
            "telephone_number": "718-266-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAYUN RASHID PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "ILINA",
        "authorized_official_first_name": "YEKATERINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-266-3413"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "9553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832595",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.