Rajashree Kantha, M.D., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07366300 Issued in NJ

Legal business name

RAJASHREE KANTHA, M.D., P.A.

Practice address

1124 E Ridgewood Ave Ste 102
Ridgewood, NJ 07450-3943

Phone

(201) 445-7744

Fax

(201) 445-7767

NPI assigned

Jul 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rajashree Kantha, M.D.

Title

Medical Doctor

Phone

(201) 445-7744

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajashree Kantha Bhatnagar, M.D.

  • Family Medicine Physician
  • Ridgewood, NJ
  • NPI 1417991381
  Medicare reassignment NPD

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1184888091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE STE 102",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503943",
            "telephone_number": "201-445-7744",
            "fax_number": "201-445-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE STE 102",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503943",
            "telephone_number": "201-445-7744",
            "fax_number": "201-445-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJASHREE KANTHA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "KANTHA",
        "authorized_official_first_name": "RAJASHREE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "201-445-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07366300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0110617",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sahar Rabiei Samani
• Selma Radoncic, APN
• Michael G Rahmin, M.D.
• Vikki Raider, LCSW
• Melissa McDermott Raines, LCSW
• Ajay Rajshekar, DO
• Archana Raman, MD
• Chidambaram Raman, MD
• Jennifer L Raman, MD
• Jessica Fatima Ramos

• Family Medicine Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.