Active NPI
Perumal Raja Thiyagarajan MD Internal Medicine PLLC
- Internal Medicine Physician
- Melville, NY
National Provider Identifier
1295694727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PERUMAL RAJA THIYAGARAJAN MD INTERNAL MEDICINE PLLC
- Practice address
- 201 Old Country Rd Ste 170
Melville, NY 11747-2732 - Phone
- (631) 271-9151
- NPI assigned
- Jan 20, 2026
- Last updated
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Perumal Thiyagarajan, MD
- Title
- Owner
- Phone
- (516) 800-5012
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
201 Old Country Rd Ste 170
Melville, NY 11747-2732
Mailing address
201 Old Country Rd Ste 170
Melville, NY 11747-2732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1295694727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 OLD COUNTRY RD STE 170",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OLD COUNTRY RD STE 170",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472732",
"telephone_number": "631-271-9151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERUMAL RAJA THIYAGARAJAN MD INTERNAL MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-20",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "THIYAGARAJAN",
"authorized_official_first_name": "PERUMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-800-5012",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.