Individual provider Active NPI

Raynarth Logendrarajah, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1467198556
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338477 Issued in NY
Practice address
1012 E Gun Hill Rd
Bronx, NY 10469-3720
Phone
(718) 918-8850
NPI assigned
May 11, 2022
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338477 NY Primary

Addresses

Primary practice location

1012 E Gun Hill Rd
Bronx, NY 10469-3720

Mailing address

1012 E Gun Hill Rd
Bronx, NY 10469-3720
Phone (718) 918-8850

Other practice location 1

1920 Webster Ave
Bronx, NY 10457-4249
Phone (646) 815-9700

Other practice location 2

545 E 142nd St
Bronx, NY 10454-2110
Phone (718) 579-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250813001858 NY Practitioner - Family Practice 1052819513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 Madison St
New York, NY 10002-7537

227 Madison St
New York, NY 10002-7587

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2025 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2025 Accepting new patients

Locations

1012 E Gun Hill Rd
Bronx, NY 10469
Phone (718) 918-8850

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

1920 Webster Ave
Bronx, NY 10457
Phone (646) 815-9700

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1467198556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693720",
            "telephone_number": "718-918-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 E GUN HILL RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693720",
            "telephone_number": "718-918-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104574249",
            "country_code": "US",
            "telephone_number": "646-815-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 E 142nd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104542110",
            "country_code": "US",
            "telephone_number": "718-579-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGENDRARAJAH",
        "first_name": "RAYNARTH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "338477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.