Rajeswari Kanthan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA05934000 Issued in NJ

Practice address

925 S Black Horse Pike
Williamstown, NJ 08094-1900

Phone

(856) 629-9000

Fax

(856) 629-6440

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Williamstown Pediatric Practice,PA

  • Pediatrics Physician
  • Williamstown, NJ
  • NPI 1184671380
  NPD (past) Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1124074091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941900",
            "telephone_number": "856-629-9000",
            "fax_number": "856-629-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941900",
            "telephone_number": "856-629-9000",
            "fax_number": "856-629-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTHAN",
        "first_name": "RAJESWARI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA05934000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Jones, OT
• Cathleen M Jordan
• Michelle Lynn Juckett, APN
• Juniper Village at Williamstown LLC
• Juniper Village at Williamstown, LLC
• Roman Karpiel
• Jeffrey Kehl, PHARMD
• Shannon Kelly, M.S., BCBA
• Kelsch Associates
• Kelsch Associates Inc. New Jersey

• Pediatrics Physician in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.