Individual provider Active NPI

Yasin Ali Abdur-Rasheed, LPN

  • Licensed Practical Nurse
  • Coram, NY
National Provider Identifier
1922374248
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
307686 Issued in NY
Practice address
2 1St St
Coram, NY 11727-3701
Phone
(631) 575-7054
Fax
(631) 946-6575
NPI assigned
Mar 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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 307686 NY Primary

Addresses

Primary practice location

2 1St St
Coram, NY 11727-3701

Mailing address

2 1St St
Coram, NY 11727-3701
Phone (631) 575-7054

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1922374248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 1ST ST",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273701",
            "telephone_number": "631-575-7054",
            "fax_number": "631-946-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1ST ST",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273701",
            "telephone_number": "631-575-7054",
            "fax_number": "631-946-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUR-RASHEED",
        "first_name": "YASIN ALI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coram, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.