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HANI ABDEL-RAHMAN DO
NPI 1366145138
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 22, 2023PECOS Enrolled
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(631) 474-6879(631) 474-6448 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hani Abdel-rahman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANI ABDEL-RAHMAN DO (NPI 1366145138) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1366145138
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHANI ABDEL-RAHMANCredential: DO
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1928
Mailing Address200 Belle Terre RdPort Jefferson, NY 11777-1928 · (631) 474-6879 · Fax (631) 474-6448
Phone(631) 474-6879
Fax(631) 474-6448
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1366145138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
200 BELLE TERRE RD, Port Jefferson, NY 11777
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Secondary Practice Location 1

Location 1501 Redmond Rd NWRome, GA 30165-1415 · Phone (706) 802-3063 · Fax (844) 863-6774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hani Abdel-rahman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY BRIAN KWAN MD
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6791
MR. TERENCE JOSEPH SCHULZ MA CCC-A
Audiologist-Hearing Aid Fitter
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6326
MS. LAURA LYNN BECK PT
Physical Therapist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 476-5606
RONNI MARANGONI
Occupational Therapist (Pediatrics)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6267
IGOR LIZOGUBENKO P.A.
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
SANA AMBER HAMEEDI D.O
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
MR. MATTHEW DELPH PA
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000
DR. ROBERT KENNEDY AWADALLAH PHARM.D, ANP, MBA
Pharmacist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 474-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hani Abdel-rahman's NPI number?

The NPI number for Hani Abdel-rahman is 1366145138. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Hani Abdel-rahman located?

Hani Abdel-rahman practices at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (631) 474-6879.

What is Hani Abdel-rahman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hani Abdel-rahman enrolled in Medicare?

Yes. Hani Abdel-rahman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hani Abdel-rahman was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.