Jerry Raju

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1069 Hempstead Tpke
Franklin Square, NY 11010-2631

Phone

(516) 865-1146

NPI assigned

Oct 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1114560752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BRYANT AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403854",
            "telephone_number": "516-499-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 HEMPSTEAD TPKE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102631",
            "telephone_number": "516-865-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "JERRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitsu Purohit, PT
• Richard F Raad, MA
• Judith Rackmil, LCSW, CASAC, APRN,BC
• Radiance Wellness NP in Family Health PLLC
• Sebin Raj, RN
• Kristin Ramirez
• Joanna Ramos
• Jakara Rance-Fisher
• Rosemary Randazzo
• Rapid Response Medical Care PC

• Behavior Technician in Franklin Square, NY
• Providers in Franklin Square, NY by specialty
• Behavior Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.