Individual provider Active NPI

Rajalakshmi Nandakumar, MD

  • Internal Medicine Physician
  • Lyons, NJ
National Provider Identifier
1396855854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA03809200 Issued in NJ
Practice address
Knollcroft Rd
VA Njhcs - Dept Ambulatory Care
Lyons, NJ 07939
Phone
(908) 647-0180
Fax
(908) 647-6367
NPI assigned
Aug 30, 2006
Sex
Female
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
Internal Medicine Physician 207R00000X MA03809200 NJ Primary

Addresses

Primary practice location

Knollcroft Rd
VA Njhcs - Dept Ambulatory Care
Lyons, NJ 07939

Mailing address

Knollcroft Rd
VA Njhcs - Dept Ambulatory Care
Lyons, NJ 07939
Phone (908) 647-0180

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
I20130508000463 NJ Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1759562622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA03809200NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396855854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KNOLLCROFT RD",
            "address_2": "VA NJHCS - DEPT AMBULATORY CARE",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "07939",
            "telephone_number": "908-647-0180",
            "fax_number": "908-647-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KNOLLCROFT RD",
            "address_2": "VA NJHCS - DEPT AMBULATORY CARE",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "07939",
            "telephone_number": "908-647-0180",
            "fax_number": "908-647-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDAKUMAR",
        "first_name": "RAJALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA03809200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, NJ

Sources for this page

Verify at the official NPI Registry.