Active NPI
Hamdam Rabiezadeh, LPN
- Licensed Practical Nurse
- Great Neck, NY
National Provider Identifier
1821243130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 192420
- Practice address
- 18 Franklin PL
Great Neck, NY 11023-1229 - Phone
- (516) 773-6388
- NPI assigned
- Dec 1, 2008
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 192420 | NY | Primary |
Addresses
Primary practice location
18 Franklin PL
Great Neck, NY 11023-1229
Mailing address
18 Franklin PL
Great Neck, NY 11023-1229
Phone (516) 773-6388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192420 | Other | NY | NYS NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192420 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Eye Care & Surgery PC | Past | Accepting new patients | |
| Brooklyn Ophthalmology PLLC | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Brooklyn, NY
- NPI 1104205780
-
- Ophthalmology Physician
- Great Neck, NY
- NPI 1386023844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1821243130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FRANKLIN PL",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231229",
"telephone_number": "516-773-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 FRANKLIN PL",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110231229",
"telephone_number": "516-773-6388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABIEZADEH",
"first_name": "HAMDAM",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "192420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS NURSING LICENSE",
"identifier": "192420",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.