Individual provider Active NPI

Sareh Rajaee, SAREH RAJAEE

  • Vascular Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1336430958
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
289856 Issued in NY
Practice address
960 50TH St
Brooklyn, NY 11219-3399
Phone
(718) 438-3800
Fax
(718) 438-3131
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 289856 NY Primary

Addresses

Primary practice location

960 50TH St
Brooklyn, NY 11219-3399

Mailing address

960 50TH St
Brooklyn, NY 11219-3399
Phone (718) 438-3800

Other names 1

  • Sareh Rajaee Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170921000100 NY Practitioner - Vascular Surgery 1557682721 Reassigns benefits to 4 organizations
I20201028000368 NJ Practitioner - Vascular Surgery 1557682721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Warren Alpert Medical School of Brown University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Manhattan PLLCGroup PAC ID 2567735152, 13 clinicians

Practice addresses (Care Compare)

290 Madison Ave
FL 2
New York, NY 10017-6375
Phone (212) 518-4562

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal164

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Manhattan, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Total Vascular Care PLLC Vascular Surgery CurrentSince Aug 13, 2017 Accepting new patients
Vein Treatment NJ LLC CurrentSince Oct 6, 2020 Accepting new patients
New York University CurrentSince Mar 1, 2018 Accepting new patients
Mni Medical Services, PLLC CurrentSince Jun 1, 2020 Accepting new patients
New York University CurrentSince Mar 1, 2018 Accepting new patients
NJ Vein Medical LLC Past Accepting new patients
MVC PA PLLC Vascular Surgery Past Accepting new patients

Locations

1117 US Highway 46
Ste 205
Clifton, NJ 07013
Phone (973) 471-0981

968 River Rd
Ste 200
Edgewater, NJ 07020
Phone (201) 224-0757

517 Route 1 S
Ste 1100
Iselin, NJ 08830
Phone (732) 636-7355

140 N Route 17
Ste 269
Paramus, NJ 07652
Phone (201) 564-7321

2253 South Ave
Ste 2
Scotch Plains, NJ 07076
Phone (908) 654-3080

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

342 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Phone (973) 333-4759

405 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (201) 325-6120

1167 McBride Ave
Ste 4
Woodland Park, NJ 07424
Phone (973) 333-4759

1167 McBride Ave
Ste 2
Woodland Park, NJ 07424

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

10730 71st Rd
#204
Forest Hills, NY 11375
Phone (631) 450-3772

280 N Central Ave
Ste 450
Hartsdale, NY 10530
Phone (212) 518-4562

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

244 Madison Ave
#1100
New York, NY 10016

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

500 Montauk Hwy
Ste G
West Islip, NY 11795
Phone (212) 518-4562

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.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1336430958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193399",
            "telephone_number": "718-438-3800",
            "fax_number": "718-438-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193399",
            "telephone_number": "718-438-3800",
            "fax_number": "718-438-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAEE",
        "first_name": "SAREH",
        "credential": "SAREH RAJAEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "289856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAREH",
            "last_name": "RAJAEE",
            "credential": "M.D., M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.