Dr Mohamed Fazal Rahaman, PSYD - Medicare Psychologist in Edison, NJ

Dr Mohamed Fazal Rahaman, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Edison, New Jersey. His current practice location is 860 Us Highway 1, Suite 4, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 737-7395.

Dr Mohamed Fazal Rahaman is licensed to practice in New Jersey (license number 35SI00477300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679874762.

Contact Information

Dr Mohamed Fazal Rahaman, PSYD
860 Us Highway 1, Suite 4,
Edison, NJ 08817-4687
(732) 737-7395
(848) 260-0818

Map and Direction




Healthcare Provider's Profile

Full NameDr Mohamed Fazal Rahaman
GenderMale
SpecialityPsychologist - Clinical
Location860 Us Highway 1, Edison, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679874762
  • Provider Enumeration Date: 11/05/2010
  • Last Update Date: 11/05/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4385828532
  • Enrollment ID: I20110412000897

Medical Identifiers

Medical identifiers for Dr Mohamed Fazal Rahaman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679874762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 35SI00477300 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohamed Fazal Rahaman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mohamed Fazal Rahaman, PSYD
860 Us Highway 1, Suite 4,
Edison, NJ 08817-4687

Ph: (732) 737-7395
Dr Mohamed Fazal Rahaman, PSYD
860 Us Highway 1, Suite 4,
Edison, NJ 08817-4687

Ph: (732) 737-7395

Reviews and Comments


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