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: July 19, 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
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

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

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


The following 20 providers are registered at the same or a nearby location.

Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Orthopaedic Surgery
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pediatrics
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychologist (Clinical)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Clinical Neuropsychologist
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Psychiatry & Neurology (Clinical Neurophysiology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Pathology (Anatomic Pathology & Clinical Pathology)
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Physician Assistant
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Emergency Medicine
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366145138, enumerated as an "individual" on March 22, 2023.

The provider is located at 200 BELLE TERRE RD PORT JEFFERSON, NY 11777 and the phone number is (631) 474-6879.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.