Individual provider Active NPI

Tara Rajiyah, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • East Orange, NJ
National Provider Identifier
1003233164
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036.145273 Issued in IL
Practice address
60 Evergreen PL Ste 4
East Orange, NJ 07018-2106
Phone
(973) 395-1550
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.145273 IL
Pediatric Endocrinology Physician 2080P0205X 036.145273 IL
Hospitalist Physician 208M00000X 036.145273 IL
Student in an Organized Health Care Education/Training Program 390200000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 036.145273 IL Primary

Addresses

Primary practice location

60 Evergreen PL Ste 4
East Orange, NJ 07018-2106

Mailing address

60 Evergreen PL Ste 4
East Orange, NJ 07018-2106
Phone (973) 395-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609000111 NJ Practitioner - Endocrinology 7517214430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.145273ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
The Heart Center of the Oranges Internal Medicine Past Accepting new patients

Locations

5 Franklin Ave
Ste 307
Belleville, NJ 07109
Phone (973) 751-5644

60 Evergreen Pl
Ste 4
East Orange, NJ 07018

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

95 Main St
West Orange, NJ 07052
Phone (732) 319-7765

77 Main St
West Orange, NJ 07052
Phone (973) 324-2090

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBHDAD/Endpoint/GBHDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1003233164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 4",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182106",
            "telephone_number": "973-395-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL STE 4",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182106",
            "telephone_number": "973-395-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJIYAH",
        "first_name": "TARA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.145273",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036.145273",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.145273",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036.145273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.