Rajitha Gujja MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07684900 Issued in NJ

Legal business name

RAJITHA GUJJA MD, LLC

Practice address

239 Claremont Ave Ste a
Montclair, NJ 07042-2833

Phone

(973) 338-4900

Fax

(973) 338-4420

NPI assigned

Jan 9, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Rajitha Gujja, M.D

Title

Doctor

Phone

(973) 338-4900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452297600000",
    "number": "1285090019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CLAREMONT AVE STE A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422833",
            "telephone_number": "973-338-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CLAREMONT AVE STE A",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422833",
            "telephone_number": "973-338-4900",
            "fax_number": "973-338-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJITHA GUJJA MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-09",
        "last_updated": "2016-01-09",
        "status": "A",
        "authorized_official_last_name": "GUJJA",
        "authorized_official_first_name": "RAJITHA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-338-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07684900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033243",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.