Individual provider Active NPI

Raj Dharma Murthy, MD, MPH

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1154776771
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
68896 Issued in CT
Practice address
65 E 96TH St Apt 1B
New York, NY 10128-0776
Phone
(646) 989-4887
NPI assigned
May 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 305990 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 68896 CT Primary

Addresses

Primary practice location

65 E 96TH St Apt 1B
New York, NY 10128-0776

Mailing address

28 Lambert RDG
Cross River, NY 10518-1125
Phone (646) 939-9401

Other practice location 1

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-5341

Other practice location 2

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5240

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address murthymd@jenkinsneurospine.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210923001786 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2961809504 Reassigns benefits to 1 organization
I20221018000251 CT Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2961809504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

200 Westage Business Ctr Dr
Fishkill, NY 12524-2268

200 Westage Business Ctr Dr
Suite 330
Fishkill, NY 12524-2269
Phone (845) 876-3003

21 Reade PL
Suite 1100
Poughkeepsie, NY 12601-3986
Phone (845) 214-1922

45 Reade PL
Poughkeepsie, NY 12601-3947

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68896CTMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. Multi-Specialty CurrentSince Oct 31, 2022 Accepting new patients
Nuvance Health Medical Practice PC Multi-Specialty CurrentSince Oct 31, 2022 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

148 East Ave
Norwalk, CT 06851
Phone (203) 838-4886

200 Westage Business Ctr Dr
Ste 240
Fishkill, NY 12524
Phone (845) 896-8784

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

21 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 214-1880

Organizations & group practices 2

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 4

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1154776771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAMBERT RDG",
            "city": "CROSS RIVER",
            "state": "NY",
            "postal_code": "105181125",
            "telephone_number": "646-939-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E 96TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280776",
            "telephone_number": "646-989-4887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Schenectady Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "718-604-5341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-5240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURTHY",
        "first_name": "RAJ",
        "middle_name": "DHARMA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "305990",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CT",
            "license": "68896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "murthymd@jenkinsneurospine.com",
            "affiliation": "N",
            "address_1": "65 E 96th St Apt 1B",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "101280776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.