Individual provider Active NPI

Syed Rahman, MD

  • Family Medicine Physician
  • Woodhaven, NY
National Provider Identifier
1952344608
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
218875 Issued in NY
Practice address
89-12 Woodhaven Blvd
Woodhaven, NY 11421
Phone
(718) 441-2640
Fax
(718) 846-0904
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 218875 NY Primary

Addresses

Primary practice location

89-12 Woodhaven Blvd
Woodhaven, NY 11421

Mailing address

89-12 Woodhaven Blvd
Woodhaven, NY 11421
Phone (718) 441-2640

Other identifiers 1

IdentifierTypeStateIssuer
02377306MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051028000789 NY Practitioner - Family Practice 9133146145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

89 -12 Woodhaven Blvd
Woodhaven, NY 11421

89 -12 Woodhaven Blvd
Woodhaven, NY 11421-2614

8912 Woodhaven Blvd
Woodhaven, NY 11421-2614
Phone (718) 441-2640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218875NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodhaven Medical, P.C. Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
South Brooklyn Health Center Family Medicine Past Accepting new patients
Dheeraj Khurana Cardiology PC PastSince Jun 20, 2018 Accepting new patients

Locations

8912 Woodhaven Blvd
Woodhaven, NY 11421
Phone (718) 441-2640

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: syed.rahman@woodhavenmedicalpc.ehi.direct-ci.com

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1952344608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-12 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-441-2640",
            "fax_number": "718-846-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-12 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-441-2640",
            "fax_number": "718-846-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SYED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "218875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377306",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.