Individual provider Active NPI

Hitesh Raheja

  • Cardiovascular Disease Physician
  • Passaic, NJ
National Provider Identifier
1285049171
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA11505600 Issued in NJ
Practice address
293 Passaic St
Passaic, NJ 07055-5803
Phone
(973) 916-0002
Fax
(973) 916-0027
NPI assigned
Jun 30, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.131017 OH
Internal Medicine Physician 207R00000X 301042-01 NY
Cardiovascular Disease Physician 207RC0000X MD472047 PA
Cardiovascular Disease Physician 207RC0000X 25MA11505600 NJ Primary

Addresses

Primary practice location

293 Passaic St
Passaic, NJ 07055-5803

Mailing address

293 Passaic St
Passaic, NJ 07055-5803
Phone (973) 916-0002

Other practice location 1

1203 Langhorne Newtown Rd Ste 320
Langhorne, PA 19047-1235
Phone (215) 750-7818

Other identifiers 1

IdentifierTypeStateIssuer
25MA11505600OtherNJSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211201002291 PA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1052683083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd
Suite 320
Langhorne, PA 19047-1235
Phone (215) 752-3330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting65
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301042-01NYMDInternal Medicine Physician
35.131017OHMDInternal Medicine Physician
25MA11505600NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physician Inc. Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Feb 29, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Cardiovascular Disease CurrentSince Feb 29, 2024 Accepting new patients
Temple Physicians Inc. CurrentSince Nov 1, 2021 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Temple Physicians Inc Past Accepting new patients

Locations

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1203 Langhorne Newtown Rd
Ste 320
Langhorne, PA 19047
Phone (215) 750-7818

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

7600 Central Ave
Fl 2
Philadelphia, PA 19111
Phone (215) 725-7600

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Interoperability endpoints

  • Direct secure messaging: hraheja1307474@nychhc.direct-ci.com
  • Direct secure messaging: hraheja3402832@direct.trinity-health.org
  • Direct secure messaging: hraheja709765@ahs.direct-ci.com

Organizations & group practices 8

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 1

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1285049171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-916-0002",
            "fax_number": "973-916-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-916-0002",
            "fax_number": "973-916-0027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1203 Langhorne Newtown Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Langhorne",
            "state": "PA",
            "postal_code": "190471235",
            "country_code": "US",
            "telephone_number": "215-750-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHEJA",
        "first_name": "HITESH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.131017",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "301042-01",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD472047",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11505600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA11505600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.