Individual provider Active NPI

Saleela Chellamma Raja, NP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1538463534
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336206-1 Issued in NY
Practice address
3 Barker Ave
White Plains, NY 10601-1509
Phone
(914) 949-1199
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336206-1 NY Primary

Addresses

Primary practice location

3 Barker Ave
White Plains, NY 10601-1509

Mailing address

3 Barker Ave
White Plains, NY 10601-1509
Phone (914) 949-1199

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000242 NY Practitioner - Nurse Practitioner 4183807993 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336206-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwell Health LLC CurrentSince Apr 14, 2024 Accepting new patients
Tcprnc, LLC CurrentSince Nov 29, 2017 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Apr 16, 2023 Accepting new patients
914Hudson Medical P.C. CurrentSince Apr 1, 2022 Accepting new patients
Parcare Community Health Network Inc CurrentSince May 20, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince May 20, 2023 Accepting new patients
Tcprnc, LLC CurrentSince Nov 29, 2017 Accepting new patients
Hospitalist Healthcare Services PLLC Past Accepting new patients
Ilyagu Medical PC Past Accepting new patients

Locations

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

3400 Cannon Pl
Bronx, NY 10463
Phone (718) 694-9000

1000 Gates Ave
Ste 5
Brooklyn, NY 11221

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

202 Caton Ave
Brooklyn, NY 11218

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

Organizations & group practices 9

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": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1538463534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "SALEELA",
        "middle_name": "CHELLAMMA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.