Bronson Benno Joseph Raja, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

311579 Issued in NY

Practice address

1400 S Pelham Pkwy
Building 1, 3N, 1C
The Bronx, NY 10461-1046

Phone

(718) 918-3203

NPI assigned

Aug 6, 2015

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: rbronson1783465@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1275919797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S PELHAM PKWY",
            "address_2": "BUILDING 1, 3N, 1C",
            "city": "THE BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-918-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S PELHAM PKWY",
            "address_2": "BUILDING 1, 3N, 1C",
            "city": "THE BRONX",
            "state": "NY",
            "postal_code": "104611046",
            "telephone_number": "718-918-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH RAJA",
        "first_name": "BRONSON BENNO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R6803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "311579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlen Daniela Flores Rivera, M.D.
• Darshana Ganguly, MD
• Mehar Ghei, DO
• Edwin Ho, MD
• Aisha T Ivie
• Dawn Lane, FNP
• Ira M Leviton, MD
• Jose Alejandro Lopez Diaz, M.D.
• Mahant Care Inc
• Cassandra Nelson, DRIVER/NEMT

• Internal Medicine Physician in The Bronx, NY
• Providers in The Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.