NPIMap

Organization Active NPI

Mohammad Rahman, Physician, PC

  • Rehabilitation Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1962607085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
213014 Issued in NY
Legal business name
MOHAMMAD RAHMAN, PHYSICIAN, PC
Practice address
8635 Queens Blvd
Suite 1a
Elmhurst, NY 11373-4434
Phone
(718) 533-8588
Fax
(718) 533-1249
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammad Anisur Rahman, MDNPI 1770591455
Title
President
Phone
(718) 533-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 213014 NY Primary

Addresses

Primary practice location

8635 Queens Blvd
Suite 1a
Elmhurst, NY 11373-4434

Mailing address

8635 Queens Blvd
Suite 1a
Elmhurst, NY 11373-4434
Phone (718) 533-8588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962607085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 QUEENS BLVD",
            "address_2": "SUITE 1A",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734434",
            "telephone_number": "718-533-8588",
            "fax_number": "718-533-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD RAHMAN, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ANISUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-533-8588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "213014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.