Individual provider Active NPI

Rajan Murthy, MD

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1396770418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
219585 Issued in NY
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2715048MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, HI2 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
I20060310000525 NY Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3971510553 Reassigns benefits to 6 organizations
I20250404002593 HI Practitioner - Diagnostic Radiology 3971510553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians

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

LicenseStateTypeSpecialty
219585NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, PC Current Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 7, 2024 Accepting new patients
Mohawk Glen Radiology Associates of Cny PLLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
St. Francis Cardiac Prevention Services PC Diagnostic Radiology CurrentSince Jul 5, 2025 Accepting new patients
CHS Physician Partners, PC CurrentSince Jul 5, 2025 Accepting new patients
St. Josephs Imaging Associates PLLC Diagnostic Radiology CurrentSince Oct 1, 2016 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 7, 2024 Accepting new patients
CHS Physician Partners, P.C CurrentSince Jul 5, 2025 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.

View all 13

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.