Individual provider Active NPI

Hamdam Rabiezadeh, LPN

  • Licensed Practical Nurse
  • Great Neck, NY
National Provider Identifier
1821243130
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
192420 Issued in NY
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

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
192420OtherNYNYS 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

LicenseStateTypeSpecialty
192420NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.