Roshan Raja DO PC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

ROSHAN RAJA DO PC

Doing business as

Child Neurology Specialists

Practice address

2821 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052

Phone

(702) 920-0290

Fax

(702) 789-1050

NPI assigned

Aug 15, 2008

Last updated

Sep 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roshan Raja, DONPI 1639257264

Title

President

Phone

(702) 715-0698

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CHILD NEUROLOGY SPECIALISTS Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7751/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roshan Raja, DO

  • Neurology with Special Qualifications in Child Neurology Physician
  • Henderson, NV
  • NPI 1639257264
  Authorized official Same address or phone

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1033365556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-920-0290",
            "fax_number": "702-789-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-920-0290",
            "fax_number": "702-789-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2847 Saint Rose Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524845",
            "country_code": "US",
            "telephone_number": "702-920-0290",
            "fax_number": "702-789-1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSHAN RAJA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "RAJA",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-715-0698",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033365556",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILD NEUROLOGY SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHILD NEUROLOGY SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan M Rosenstein, M.D.
• Philip Steven Rosenthal, RPH
• Rachel Jenan Rosenthal
• Samuel D Rosenthal, MD
• Roshan PLLC
• Shameyel Roshan, DO
• Roshini Inc (OM Medical)
• Joann Ross-Miller
• Brendon David Ross, B.A.
• Christopher Ross, MPT

• Neurology with Special Qualifications in Child Neurology Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.