| Brad A Rahaman, MD | |
|
41 E Kings Hwy Fl 1, Audubon, NJ 08106-1216 | |
| (888) 982-8594 | |
| Not Available |
| Full Name | Brad A Rahaman |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 41 E Kings Hwy Fl 1, Audubon, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043473424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 262043 (New York) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 262043 (New York) | Secondary |
| Entity Name | The Brookdale Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Entity Name | Maimonides Medical Center - Mmc Emergency Physicians Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982708202 PECOS PAC ID: 3678472917 Enrollment ID: O20040106000161 |
| Entity Name | Maimonides Medical Center Maimonides Primary Care Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013968593 PECOS PAC ID: 5991696916 Enrollment ID: O20040322000161 |
| Entity Name | St. Joseph Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881799153 PECOS PAC ID: 1254222938 Enrollment ID: O20040323000142 |
| Entity Name | St Francis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760704811 PECOS PAC ID: 9234101221 Enrollment ID: O20040810001086 |
| Entity Name | Meeting House Lane Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089 |
| Entity Name | Interfaith Emergency Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457643785 PECOS PAC ID: 7012186638 Enrollment ID: O20110816000191 |
| Entity Name | Kingsbrook Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104112838 PECOS PAC ID: 8729252028 Enrollment ID: O20111123000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Brad A Rahaman, MD 133 Beach 116th St Apt 6c, Rockaway Park, NY 11694-2447 Ph: (202) 746-8130 | Brad A Rahaman, MD 41 E Kings Hwy Fl 1, Audubon, NJ 08106-1216 Ph: (888) 982-8594 |