Jafren Rahman, PA-C
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1063200426
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1063200426
- Entity type
- Individual (NPI-1)
- Name
- Jafren Rahman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 27, 2025
- Last updated
- Apr 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
520 E 70th StNew York, NY 10021-9800
Phone 646-962-2072
Mailing address
520 E 70th StNew York, NY 10021-9800
Phone 646-962-2072
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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