NPIMap

Individual provider Active NPI

Jacob Rajan, M.D.

  • Anesthesiology Physician
  • Troy, NY
National Provider Identifier
1023070398
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
237448 Issued in NY
Practice address
2215 Burdett Ave
Samaritan Hospital
Troy, NY 12180-2466
Phone
(518) 271-3258
NPI assigned
Apr 4, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 237448 NY Primary

Addresses

Primary practice location

2215 Burdett Ave
Samaritan Hospital
Troy, NY 12180-2466

Mailing address

PO Box 3308
Troy Anesthesiologists, PC.
Buffalo, NY 14240-3308
Phone (845) 790-2661

Other identifiers 1

IdentifierTypeStateIssuer
02941257MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000445 NY Practitioner - Anesthesiology 3173533346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians
Premier Anesthesia of New York, P.C.Group PAC ID 7719041102, 50 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237448NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
St. Joseph's Physician Health, P.C. Anesthesiology CurrentSince Jul 19, 2023 Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Dec 9, 2017 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Troy Infectious Disease and Primary Care LLC Past Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients

Locations

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: jrajan2540487@direct.trinity-health.org

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1023070398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3308",
            "address_2": "TROY ANESTHESIOLOGISTS, PC.",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142403308",
            "telephone_number": "845-790-2661",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "address_2": "SAMARITAN HOSPITAL",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-271-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "237448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02941257",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.