Individual provider Active NPI

Rahman Ryan Subrati, MD

  • Family Medicine Physician
  • Montville, NJ
National Provider Identifier
1932479094
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09233800 Issued in NJ
Practice address
137 Main Rd
Suite 20
Montville, NJ 07045-9231
Phone
(973) 402-0025
Fax
(973) 402-0508
NPI assigned
Jan 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MA09233800 NJ Primary

Addresses

Primary practice location

137 Main Rd
Suite 20
Montville, NJ 07045-9231

Mailing address

137 Main Rd
Suite 20
Montville, NJ 07045-9231
Phone (973) 402-0025

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130418000024 NJ Practitioner - Family Practice 1456597467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montville Family Practice Associates, PAGroup PAC ID 4486640786, 3 clinicians

Practice addresses (Care Compare)

137 Main Rd
Suite 200
Montville, NJ 07045-9231
Phone (973) 402-0025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Med Associates LLC CurrentSince May 1, 2025 Accepting new patients
Somdocs Family Medicine CurrentSince May 14, 2022 Accepting new patients
Riverside Medical Group Past Accepting new patients

Locations

303 Elm St
Perth Amboy, NJ 08861
Phone (732) 442-9540

66 W Gilbert St
Ste 200
Tinton Falls, NJ 07701
Phone (732) 212-0051

Interoperability endpoints

  • Direct secure messaging: rahman.subrati.1@31573.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1932479094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN RD",
            "address_2": "SUITE 20",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459231",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN RD",
            "address_2": "SUITE 20",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459231",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRATI",
        "first_name": "RAHMAN",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-06",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09233800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.