Individual provider Active NPI

Logi Rajagopalan, MD

  • Pediatric Critical Care Medicine Physician
  • New York, NY
National Provider Identifier
1508849415
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
251342 Issued in NY
Practice address
424 E 34TH St
New York, NY 10016-4901
Phone
(212) 263-2377
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 251342 NY Primary

Addresses

Primary practice location

424 E 34TH St
New York, NY 10016-4901

Mailing address

506 Lenox Ave
Mlk17-125
New York, NY 10037-1802
Phone (212) 939-3702

Other practice location 1

506 Lenox Ave
MLK 17-125
New York, NY 10037-1802
Phone (212) 939-3702

Other identifiers 1

IdentifierTypeStateIssuer
02557817MedicaidNY

Other names 1

  • Dr. Logeswary Rajagopalan Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lrajagopalan86225@nyumc.direct-ci.com

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
I20040503001076 NY Practitioner - Critical Care (Intensivists)Practitioner - Pediatric Medicine 5092703744 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Sep 15, 2019 Accepting new patients
New York University CurrentSince Sep 15, 2019 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Trustees of Columbia University in the City of New York Pediatric Critical Care Medicine Past Accepting new patients
Harlem Medical Associates PC Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

500 1st Ave
New York, NY 10016
Phone (212) 562-4141

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: lrajagopalan86225@nyumc.direct-ci.com
  • Direct secure messaging: lrajagopalan681343@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1508849415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "address_2": "MLK17-125",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164901",
            "telephone_number": "212-263-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Lenox Ave",
            "address_2": "MLK 17-125",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371802",
            "country_code": "US",
            "telephone_number": "212-939-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "LOGI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "251342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02557817",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrajagopalan86225@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "424 E 34th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LOGESWARY",
            "last_name": "RAJAGOPALAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.