Active NPI
Rahim Ditta
- Counselor
- Piermont, NY
National Provider Identifier
1861225625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1 W Lawrence Park Dr Unit 12
Piermont, NY 10968-3104 - Phone
- (845) 587-8391
- NPI assigned
- Aug 26, 2024
- Last updated
- Aug 26, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1 W Lawrence Park Dr Unit 12
Piermont, NY 10968-3104
Mailing address
1 W Lawrence Park Dr Unit 12
Piermont, NY 10968-3104
Phone (845) 587-8391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1377 Motor Pkwy
Suite 102
Islandia, NY 11749-5249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1861225625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 W LAWRENCE PARK DR UNIT 12",
"city": "PIERMONT",
"state": "NY",
"postal_code": "109683104",
"telephone_number": "845-587-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W LAWRENCE PARK DR UNIT 12",
"city": "PIERMONT",
"state": "NY",
"postal_code": "109683104",
"telephone_number": "845-587-8391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTA",
"first_name": "RAHIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Piermont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.