Active NPI
Rajani Soudhagar
- Physical Therapist
- Sunnyside, NY
National Provider Identifier
1013513324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046397-01
- Practice address
- 4701 Queens Blvd Ste 402
Sunnyside, NY 11104-1606 - Phone
- (718) 729-5947
- Fax
- (718) 729-9168
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046397-01 | NY | Primary |
Addresses
Primary practice location
4701 Queens Blvd Ste 402
Sunnyside, NY 11104-1606
Mailing address
760 Brook Ave Apt B
Bronx, NY 10451-4680
Phone (646) 859-9087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046397-01 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1013513324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROOK AVE APT B",
"city": "BRONX",
"state": "NY",
"postal_code": "104514680",
"telephone_number": "646-859-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 QUEENS BLVD STE 402",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111041606",
"telephone_number": "718-729-5947",
"fax_number": "718-729-9168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUDHAGAR",
"first_name": "RAJANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046397-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.