Individual provider Active NPI

Ravindran Thirunavu Rajaraman, M.D.

  • Internal Medicine Physician
  • Shrewsbury, NJ
National Provider Identifier
1487625422
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07526600 Issued in NJ
Practice address
59 Avenue at the CMN
Suite#105
Shrewsbury, NJ 07702-4806
Phone
(732) 544-8899
Fax
(732) 544-9888
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07526600 NJ Primary
Pediatrics Physician 208000000X 25MA07526600 NJ

Addresses

Primary practice location

59 Avenue at the CMN
Suite#105
Shrewsbury, NJ 07702-4806

Mailing address

59 Avenue at the CMN
Suite#105
Shrewsbury, NJ 07702-4806
Phone (732) 544-8899

Other identifiers 1

IdentifierTypeStateIssuer
0066613MedicaidNJ

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
I20050613000403 NJ Practitioner - Internal Medicine 9436192655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Ave at the CMN
Suite 105
Shrewsbury, NJ 07702-4559
Phone (732) 544-8899

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07526600NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medicine & Pediatrics Associates P a CurrentSince Jan 1, 2022 Accepting new patients
Rajaraman Medicine & Pediatrics, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

59 Avenue At the Cmn
Ste 105
Shrewsbury, NJ 07702
Phone (732) 544-8899

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1487625422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN",
            "address_2": "SUITE#105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024806",
            "telephone_number": "732-544-8899",
            "fax_number": "732-544-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN",
            "address_2": "SUITE#105",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024806",
            "telephone_number": "732-544-8899",
            "fax_number": "732-544-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARAMAN",
        "first_name": "RAVINDRAN",
        "middle_name": "THIRUNAVU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07526600",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA07526600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066613",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.