Individual provider Active NPI

Ajay Rajshekar, DO

  • Neurology Physician
  • Ridgewood, NJ
National Provider Identifier
1316509342
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB12231500 Issued in NJ
Practice address
1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937
Phone
(201) 444-0868
NPI assigned
Jun 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 25MB12231500 NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave Ste 208
Ridgewood, NJ 07450-3937

Mailing address

1806 Pheasant Run
Monmouth Junction, NJ 08852-1944
Phone (732) 666-5459

Other practice location 1

1 Cooper Plz
Camden, NJ 08103-1461
Phone (800) 826-6737

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20241105002731 NJ Practitioner - Neurology 6901330539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rowan University School of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Group of Bergen County PAGroup PAC ID 5698755056, 26 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB12231500NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Group of Bergen County PA Neurology CurrentSince Aug 26, 2024 Accepting new patients

Locations

1200 E Ridgewood Ave
Ste 208
Ridgewood, NJ 07450
Phone (201) 444-0631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25202/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ajay.rajshekar.1@25202.direct.athenahealth.com

Organizations & group practices 1

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 6

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": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1316509342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PHEASANT RUN",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088521944",
            "telephone_number": "732-666-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE STE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503937",
            "telephone_number": "201-444-0868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "800-826-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJSHEKAR",
        "first_name": "AJAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB12231500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.