NPIMap

Individual provider Active NPI

Vinutha Raj, MD

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1437144979
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07380600 Issued in NJ
Practice address
80 Hazlet Ave Ste 10
Hazlet, NJ 07730-1600
Phone
(732) 264-0400
Fax
(732) 264-1149
NPI assigned
Sep 12, 2005
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 25MA07380600 NJ Primary

Addresses

Primary practice location

80 Hazlet Ave Ste 10
Hazlet, NJ 07730-1600

Mailing address

80 Hazlet Ave Ste 10
Hazlet, NJ 07730-1600
Phone (322) 640-4007

Other identifiers 1

IdentifierTypeStateIssuer
9113002MedicaidNJ

Other names 1

  • Vinutha Rajasekharaiah Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000383 NJ Practitioner - Internal Medicine 6204885593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Hazlet Ave
Suite 10
Hazlet, NJ 07730-1600
Phone (732) 264-0400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07380600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Medical Associates Inc Internal Medicine CurrentSince Nov 29, 2005 Accepting new patients
Thomas Scuderi MD,PA PastSince Jan 3, 2006 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Hospital Medicine Associates of Monmouth County, LLC Internal Medicine Past Accepting new patients

Locations

80 Hazlet Ave
Ste 10
Hazlet, NJ 07730
Phone (732) 264-0400

200 Perrine Rd
Ste 206
Old Bridge, NJ 08857
Phone (732) 316-5100

Interoperability endpoints

  • Direct secure messaging: vinutha.raj@jerseym.ehi.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Beachview Care & Rehabilitation Center IncKeansburg, NJ, CCN 315437 Skilled nursing facility Adp of the SNF Dec 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1437144979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE STE 10",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301600",
            "telephone_number": "322-640-4007",
            "fax_number": "732-264-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAZLET AVE STE 10",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301600",
            "telephone_number": "732-264-0400",
            "fax_number": "732-264-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJ",
        "first_name": "VINUTHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07380600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9113002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINUTHA",
            "last_name": "RAJASEKHARAIAH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.