NPIMap

Individual provider Active NPI

Gitendra Rajiyah, MD

  • Cardiovascular Disease Physician
  • East Orange, NJ
National Provider Identifier
1083693196
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05585100 Issued in NJ
Practice address
60 Evergreen Place
Suite 400
East Orange, NJ 07018
Phone
(973) 395-1550
Fax
(973) 395-1556
NPI assigned
Jan 17, 2006
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 25MA05585100 NJ
Cardiovascular Disease Physician 207RC0000X 25MA05585100 NJ Primary

Addresses

Primary practice location

60 Evergreen Place
Suite 400
East Orange, NJ 07018

Mailing address

21 Edgewood Road
Summit, NJ 07901
Phone (973) 395-1550

Other identifiers 1

IdentifierTypeStateIssuer
5407206MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101230000635 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082615539 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
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
St Michaels Cardiology AssociatesGroup PAC ID 9830224153, 8 clinicians

Practice addresses (Care Compare)

135 Bloomfield Ave
Suite B
Bloomfield, NJ 07003-5902
Phone (973) 743-2248

2091 Millburn Ave
Maplewood, NJ 07040-3718
Phone (973) 378-2266

268 Dr M L King Jr Blvd
Newark, NJ 07102-2011
Phone (973) 678-5700

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

60 Vose Ave
South Orange, NJ 07079-2026
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052-5354
Phone (973) 736-5552

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Universal Ultrasound Diagnostic & Vein Treatment Center CurrentSince Sep 5, 2024 Accepting new patients
Pathology Associates, PC Current Accepting new patients
Universal Ultrasound Diagnostic & Vein Treatment Center CurrentSince Feb 12, 2025 Accepting new patients
St Michaels Cardiology Associates Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
The Heart Center of the Oranges Internal Medicine CurrentSince Jul 30, 1991 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Apr 12, 2022 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
Cooperman Barnabas Medical Center Inc Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
Green Hill Inc Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
Clara Maass Medical Center Past Accepting new patients
The Heart Center of the Oranges Past Accepting new patients

Locations

135 Bloomfield Ave
Ste B
Bloomfield, NJ 07003
Phone (973) 743-2248

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

310 Central Ave
Ste 102
East Orange, NJ 07018
Phone (973) 207-1678

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

2091 Millburn Ave
Maplewood, NJ 07040
Phone (973) 378-2266

268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102
Phone (973) 678-5700

188 S Essex Ave
Orange, NJ 07050
Phone (800) 477-7577

188 S Essex Ave
Fl 7
Orange, NJ 07050
Phone (973) 266-2771

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

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

  • Direct secure messaging: grajiyah229629@epicdirect.rwjbh.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stratford Manor Rehabilitation and Care CenterWest Orange, NJ, CCN 315066 Skilled nursing facility Adp of the SNF May 10, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1083693196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EDGEWOOD ROAD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PLACE",
            "address_2": "SUITE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJIYAH",
        "first_name": "GITENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05585100",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05585100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5407206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.