Individual provider Active NPI

Rajeena Anoop Pillai, FNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1104453653
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F345258 Issued in NY
Practice address
2015 Grand Concourse
Bronx, NY 10453-4303
Phone
(718) 299-7295
Fax
(718) 299-6797
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F345258 NY Primary

Addresses

Primary practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd FL 2
Bronx, NY 10461-2507
Phone (718) 618-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624000834 NY Practitioner - Nurse Practitioner 5890117659 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresh Meadows Physician Practice PLLCGroup PAC ID 0941657811, 33 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians
New York Medical Physician Associates PCGroup PAC ID 6709226350, 208 clinicians

Practice addresses (Care Compare)

10 Munson St
Le Roy, NY 14482-8933
Phone (585) 768-2561

170 Lake St
Liberty, NY 12754-1966
Phone (845) 292-4200

255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5983

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F345258NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Sep 1, 2020 Accepting new patients
Py Medical PLLC CurrentSince Aug 1, 2024 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Sep 1, 2021 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Sep 1, 2020 Accepting new patients
New York Medical Physician Associates PC CurrentSince Nov 15, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Sep 1, 2020 Accepting new patients
Peyman Younesi MD PLLC CurrentSince May 1, 2024 Accepting new patients
New York Medical Physician Associates PC CurrentSince Nov 15, 2024 Accepting new patients
Fresh Meadows Physician Practice PLLC CurrentSince Jan 1, 2026 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Sep 1, 2020 Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

620 Sleepy Hollow Rd
Briarcliff Manor, NY 10510
Phone (800) 501-3936

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1434 Williamsbridge Rd
Fl 2
Bronx, NY 10461
Phone (201) 641-2125

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

5014 16th Ave
Ste 13
Brooklyn, NY 11204
Phone 9143594420103

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

10 Munson St
Le Roy, NY 14482
Phone (585) 591-6000

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1104453653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 WILLIAMSBRIDGE RD FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612507",
            "telephone_number": "718-618-0401",
            "fax_number": "347-479-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295",
            "fax_number": "718-299-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLAI",
        "first_name": "RAJEENA",
        "middle_name": "ANOOP",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.