Active NPI
Rajan Murthy, MD
- Diagnostic Radiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 219585
- Practice address
- 622 W 168TH St
New York, NY 10032-3720 - Phone
- (212) 305-9335
- Fax
- (212) 305-8636
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 219585 | NY | Primary |
Addresses
Primary practice location
622 W 168TH St
New York, NY 10032-3720
Mailing address
622 W 168TH St # 28
New York, NY 10032-3720
Phone (212) 305-1948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2715048 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rutgers New Jersey Medical School, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
108 Maluniu Ave
Apt B
Kailua, HI 96734-2391
Phone 61421018851794
1200 Queen Emma St
Apt 1511
Honolulu, HI 96813-6308
Phone (609) 585-8800
160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219585 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, PC | Current | Accepting new patients | |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Mohawk Glen Radiology Associates of Cny PLLC | Diagnostic Radiology | Current | Accepting new patients |
| St. Francis Cardiac Prevention Services PC | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| St. Josephs Imaging Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging Center LLP | Past | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Diagnostic Radiology | Past | Accepting new patients |
Locations
615 N Seward Ave
Auburn, NY 13021
Phone (315) 253-9749
4109 Medical Center Dr
Ste 109
Fayetteville, NY 13066
4117 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-4968
2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910
2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400
5100 W Taft Rd
Ste 2A
Liverpool, NY 13088
Phone (315) 452-2555
5100 W Taft Rd
Ste 1A
Liverpool, NY 13088
Phone (315) 334-9729
8200 Oswego Rd
Liverpool, NY 13090
Phone (315) 452-2555
510 Hicksville Rd
Massapequa, NY 11758
Phone (516) 729-2626
4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260
300 State Route 104
Ste 3
Oswego, NY 13126
Phone (315) 216-6060
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910
1000 N Village Ave
#13202
Rockville Ctr, NY 11570
91 Perimeter Rd
Ste 110
Rome, NY 13441
Phone (315) 334-9729
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
2500 Nesconset Hwy
Bldg 7D
Stony Brook, NY 11790
Phone (631) 751-3322
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
104 Union Ave
Ste 905
Syracuse, NY 13203
Phone (315) 703-5114
109 Pine St
Syracuse, NY 13210
Phone (315) 391-6263
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
HI
-
dba Cardiac Interventional Group
- Interventional Cardiology Physician
- Fresh Meadows, NY
- NPI 1407089345
-
- Diagnostic Radiology Physician
- Rome, NY
- NPI 1538466115
-
dba St. Francis Diagnostic
- Diagnostic Radiology Physician
- Melville, NY
- NPI 1376952804
-
- Diagnostic Radiology Physician
- Liverpool, NY
- NPI 1093709180
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1235122425
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
dba Bellmore Family Practice
- Family Medicine Physician
- Bellmore, NY
- NPI 1720334527
-
- Radiology Clinic/Center
- East Syracuse, NY
- NPI 1538153671
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1043328354
-
dba Columbia Presbyterian Radiologists
- Diagnostic Radiology Physician
- New York, NY
- NPI 1467560854
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- Roslyn, NY
- NPI 1043279565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396770418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST # 28",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-1948",
"fax_number": "212-305-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-9335",
"fax_number": "212-305-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHY",
"first_name": "RAJAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "219585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2715048",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.