NPIMap

Organization Active NPI

Prime Health Medical PC

  • Nuclear Cardiology Physician
  • Garden City, NY
National Provider Identifier
1265637284
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
PRIME HEALTH MEDICAL PC
Practice address
623 Stewart Ave Ste 201
Garden City, NY 11530-4771
Phone
(516) 746-0422
Fax
(516) 279-4465
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Mr. Rajesh Rohatgi, MDNPI 1932118528
Title
Owner President
Phone
(516) 746-0422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X
Nuclear Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207UN0901X Primary

Addresses

Primary practice location

623 Stewart Ave Ste 201
Garden City, NY 11530-4771

Mailing address

31 Geralind Dr
Syosset, NY 11791-2415
Phone (516) 746-0422

Other identifiers 2

IdentifierTypeStateIssuer
03280086MedicaidNY
P3714426OtherNYOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050125000353 NY Part B Supplier - Clinic/Group Practice 1658321955 Receives reassigned benefits from 4 practitioners
Practice locations: East Meadow, NY; Smithtown, NY; Rockville Centre, NY; Oceanside, NY; Mineola, NY; Long Beach, NY; Hempstead, NY; Garden City, NY…

National Provider Directory

National Provider Directory

Locations

623 Stewart Ave
Ste 201
Garden City, NY 11530
Phone (516) 746-0422

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1265637284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GERALIND DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912415",
            "telephone_number": "516-746-0422",
            "fax_number": "516-279-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 STEWART AVE STE 201",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304771",
            "telephone_number": "516-746-0422",
            "fax_number": "516-279-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "ROHATGI",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "516-746-0422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03280086",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3714426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.