Bandana Raha, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Practice address

550 Newark Ave
Ste 307
Jersey City, NJ 07306-1353

Phone

(201) 963-0090

Fax

(201) 963-0355

NPI assigned

Jun 9, 2005

Last updated

Jul 24, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bandana.raha.1@19323.direct.athenahealth.com
• Direct secure messaging: bandana.raha@direct.christhospital.md
• FHIR API: https://api.platform.athenahealth.com/19323/brand/1/csg/1/fhir/r4

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.

• Jersey City Pediatrics

  • Preferred Provider Organization
  • Jersey City, NJ
  • NPI 1861660219
  Authorized official Same address or phone
• Hudson Hospital Opco LLC

  dba Christ Hospital

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1871859306
  NPD
• Naveen Mehrotra, MD, PA

  • Pediatrics Physician
  • Edison, NJ
  • NPI 1063784841
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1558365239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUBERT ST",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811365",
            "telephone_number": "973-599-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEWARK AVE",
            "address_2": "STE 307",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061353",
            "telephone_number": "201-963-0090",
            "fax_number": "201-963-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHA",
        "first_name": "BANDANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5475805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radius Telemed, LLC
• Charley Sage Rafferty, LSW
• Reesha Rafiq, D.D.S.
• Riya Lynn Ragbarsingh
• Vanessa Alicia Raghunandan
• Raja Rahula, M.D.
• Rishabh Rai, PT
• Raising Warriors Program
• Sunny Mukul Raithatha
• Kuldeep Raj, M.D.

• Pediatrics Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.