Individual provider Active NPI

Vijay Ragavan, M.D

  • Internal Medicine Physician
  • East Orange, NJ
National Provider Identifier
1023078433
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101267032 Issued in VA
Practice address
385 Tremont Ave
VA New Jersey Healthcare System
East Orange, NJ 07018-1023
Phone
(973) 676-1000
Fax
(973) 395-7003
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA54532 NJ
Internal Medicine Physician 207R00000X 0101267032 VA Primary

Addresses

Primary practice location

385 Tremont Ave
VA New Jersey Healthcare System
East Orange, NJ 07018-1023

Mailing address

6 Coventry LN
North Caldwell, NJ 07006-4100
Phone (973) 226-4990

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
I20130408000132 NJ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7416137674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA54532NJMDInternal Medicine Physician
0101267032VAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1023078433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COVENTRY LN",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064100",
            "telephone_number": "973-226-4990",
            "fax_number": "973-395-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 TREMONT AVE",
            "address_2": "VA NEW JERSEY HEALTHCARE SYSTEM",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181023",
            "telephone_number": "973-676-1000",
            "fax_number": "973-395-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAVAN",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA54532",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101267032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.