Active NPI
Sara Rahimi, AGNP
- Nurse Practitioner
- Paramus, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NR15460300
- Practice address
- 277 Forest Avenue
Suite 206
Paramus, NJ 07652 - Phone
- (201) 489-8900
- Fax
- (201) 489-0877
- NPI assigned
- Apr 21, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR15460300 | NJ | |
| Nurse Practitioner | 363L00000X | 26NJ00725200 | NJ | |
| Nurse Practitioner | 363L00000X | 26NR15460300 | NJ | Primary |
Addresses
Primary practice location
277 Forest Avenue
Suite 206
Paramus, NJ 07652
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Other practice location 1
310 Lookout Ave
Apt 304
Hackensack, NJ 07601
Phone (973) 476-5496
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
Hospital & facility affiliations
- Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR15460300 | NJ | MD | Registered Nurse |
| 26NJ00725200 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| New Jersey Urology LLC | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Past | Accepting new patients |
Locations
36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Urology Physician
- Bloomfield, NJ
- NPI 1588822423
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1861927345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 FOREST AVENUE",
"address_2": "SUITE 206",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "201-489-8900",
"fax_number": "201-489-0877"
}
],
"practiceLocations": [
{
"address_1": "310 Lookout Ave",
"address_2": "Apt 304",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "07601",
"country_code": "US",
"telephone_number": "973-476-5496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHIMI",
"first_name": "SARA",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-21",
"last_updated": "2022-03-22",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR15460300",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00725200",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NR15460300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.