{
"Npi": {
"NPI": "1558121236",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RAHMAN",
"FirstName": "TANZINA",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMSW",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ZAKIR",
"OtherFirstName": "TANZINA",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMSW",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "2255 78TH ST APT 2F",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EAST ELMHURST",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11370-2112",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "929-229-8514",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "353 LEXINGTON AVE STE 310",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEW YORK",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10016-0941",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-604-6776",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/20/2024",
"LastUpdateDate": "03/20/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1041C0700X",
"TaxonomyName": "Clinical Social Worker",
"LicenseNumber": "120032",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}