Individual provider Active NPI

Raj K Shrivastava, MD

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1184609240
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2242811 Issued in NY
Practice address
5 E 98TH St
Box 1136
New York, NY 10029-6501
Phone
(212) 241-6147
Fax
(212) 241-3252
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2242811 NY Primary

Addresses

Primary practice location

5 E 98TH St
Box 1136
New York, NY 10029-6501

Mailing address

5 E 98TH St
Box 1136
New York, NY 10029-6501
Phone (212) 241-6147

Other identifiers 1

IdentifierTypeStateIssuer
02664762MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000678 NY Practitioner - Neurosurgery 9032175898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1 Gustave Levy Place
New York, NY 10029-6500
Phone (212) 731-6761

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 731-6761

1010 N Broadway
Yonkers, NY 10701-1330
Phone (212) 731-6761

5 E 98TH St
FL 7
New York, NY 10029-6501
Phone (212) 731-6761

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2242811NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai Neurological Surgery CurrentSince Aug 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
#1136
New York, NY 10029
Phone (212) 241-6147

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

425 W 59th St
Ste 4E
New York, NY 10019
Phone (212) 262-4444

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

1468 Madison Ave
Ste 828
New York, NY 10029

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1010 N Broadway
Yonkers, NY 10701
Phone (914) 968-3535

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 7

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 8

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1184609240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-6147",
            "fax_number": "212-241-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 E 98TH ST",
            "address_2": "BOX 1136",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296501",
            "telephone_number": "212-241-6147",
            "fax_number": "212-241-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVASTAVA",
        "first_name": "RAJ",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "2242811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02664762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.