Individual provider Active NPI

Rajesh Mohan, MD

  • Cardiovascular Disease Physician
  • Lakewood, NJ
National Provider Identifier
1376565507
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD065570L Issued in PA
Practice address
1255 Route 70 Ste 22S
Lakewood, NJ 08701-6160
Phone
(732) 905-0077
Fax
(732) 363-4584
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD065570L PA Primary

Addresses

Primary practice location

1255 Route 70 Ste 22S
Lakewood, NJ 08701-6160

Mailing address

1255 Route 70 Ste 22S
Lakewood, NJ 08701-6160
Phone (732) 905-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050104000022 NJ Practitioner - Cardiovascular Disease (Cardiology) 6507821634 Reassigns benefits to 1 organization
I20060915000232 PA Practitioner - Cardiovascular Disease (Cardiology) 6507821634 Reassigns benefits to 8 organizations
I20241010000995 NH Practitioner - Cardiovascular Disease (Cardiology) 6507821634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians
North Atlantic Medical Associates,PCGroup PAC ID 1254396385, 2 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Practice addresses (Care Compare)

1120 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 533-4141

1255 Hwy 70
Suite 22S
Lakewood, NJ 08701-6160
Phone (732) 905-0077

132 Abigail LN
Port Matilda, PA 16870-7153
Phone (814) 272-7100

155 Wellness Way
State College, PA 16803-6797
Phone (814) 231-7000

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2100

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD065570LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Mar 6, 2024 Accepting new patients
North Atlantic Medical Associates,PC Cardiovascular Disease CurrentSince Dec 12, 2003 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince May 12, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Mar 6, 2024 Accepting new patients
DLP Conemaugh Miner'S Medical Center LLC Cardiovascular Disease CurrentSince Mar 6, 2024 Accepting new patients
Mount Nittany Medical Center Health Services Inc Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 22, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 18, 2025 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Mar 6, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 18, 2025 Accepting new patients
Catholic Medical Center CurrentSince Sep 18, 2024 Accepting new patients
Susquehanna Physician Services CurrentSince May 12, 2021 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Jan 22, 2024 Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Sep 18, 2024 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Cardiovascular Disease CurrentSince Mar 6, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Primary Cardiology PC Cardiovascular Disease PastSince Aug 31, 2001 Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
Memorial Enterprises Inc Past Accepting new patients
Bard Cardiology Associates, PC Cardiovascular Disease Past Accepting new patients

Locations

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

1255 Route 70
Ste 22S
Lakewood, NJ 08701
Phone (732) 364-0041

101 Prospect St
Ste 210
Lakewood, NJ 08701
Phone (732) 202-8061

1215 Route 70
Ste 1005
Lakewood, NJ 08701
Phone (732) 905-0077

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

100 N Academy Ave
Danville, PA 17822

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1 Tech Park Dr
Ste 2100
Johnstown, PA 15901
Phone (814) 475-8600

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/01f94e02-09c3-48f8-b3d5-d9516d905113/
  • Direct secure messaging: rmohan39878@direct-guthrie.org
  • Direct secure messaging: rmohan50099@direct.conemaugh.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1376565507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 22S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016160",
            "telephone_number": "732-905-0077",
            "fax_number": "732-363-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ROUTE 70 STE 22S",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087016160",
            "telephone_number": "732-905-0077",
            "fax_number": "732-363-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "RAJESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD065570L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.