Rakesha Dataram

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00415400 Issued in NJ

Practice address

922 Main St
Paterson, NJ 07503-2602

Phone

(201) 398-6721

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1477388056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROOSEVELT AVE",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601238",
            "telephone_number": "201-398-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032602",
            "telephone_number": "201-398-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATARAM",
        "first_name": "RAKESHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00415400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Darvish, M.D.
• Helen Darwish
• Raed S Darwish
• Sree Vardhini Dasari
• Farzaneh Dashti, MD
• Subhashree Datta Bhutada, M.D.
• Sarosh Daud, MD
• Nisha Davendra Dave, D.O.
• David M Mayer DMD
• Cynthia Dayrit -Demetillo, NP

• Physical Therapy Assistant in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.