Active NPI
Rajani S. Walsh, MD
- Hospitalist Physician
- Berlin, NJ
National Provider Identifier
1194766220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD028249E
- Practice address
- 100 Townsend Ave
Berlin, NJ 08009 - Phone
- (856) 322-3260
- Fax
- (856) 322-3061
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA39648 | NJ | |
| Internal Medicine Physician | 207R00000X | MD028249E | PA | |
| Hospitalist Physician | 208M00000X | MD028249E | PA | Primary |
Addresses
Primary practice location
100 Townsend Ave
Berlin, NJ 08009
Mailing address
41 University Dr Ste 300
Newtown, PA 18940-1873
Phone (215) 710-7037
Other practice location 1
1205 Langhorne Newtown Rd Ste 403
Langhorne, PA 19047-1223
Phone (215) 710-4460
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014803490004 | Medicaid | PA | |
| 1194766220 | Other | PA | KEYSTONE IBC |
| 1367087 | Other | PA | CIGNA PA |
| 1926403 | Medicaid | NJ | |
| 2663312 | Other | PA | HIGHMARK BLUE SHIELD |
| 4203863 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA39648 | NJ | MD | Emergency Medicine Physician |
| MD028249E | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Past | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Family Medicine Physician
- Holland, PA
- NPI 1144521444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1194766220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNIVERSITY DR STE 300",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401873",
"telephone_number": "215-710-7037",
"fax_number": "215-710-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TOWNSEND AVE",
"city": "BERLIN",
"state": "NJ",
"postal_code": "08009",
"telephone_number": "856-322-3260",
"fax_number": "856-322-3061"
}
],
"practiceLocations": [
{
"address_1": "1205 Langhorne Newtown Rd Ste 403",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471223",
"country_code": "US",
"telephone_number": "215-710-4460",
"fax_number": "215-710-4465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "RAJANI",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MA39648",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD028249E",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD028249E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014803490004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE IBC",
"identifier": "1194766220",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PA",
"identifier": "1367087",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1926403",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "2663312",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4203863",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.