MEDICARE: REYNA RAHAMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37AC00914800	NJ

General Provider Information

NPI Number	:	1629942362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REYNA RAHAMAN

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1050 WALL ST W STE 310
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-3615
Country	:	US
Telephone Number	:	551-525-9056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2025
Last Update Date	:	06/15/2026

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Directions to “ REYNA RAHAMAN ” Practice Location

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