Individual provider Active NPI

Rama B Raju, MD

  • Internal Medicine Physician
  • Uniondale, NY
National Provider Identifier
1609957000
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
146704 Issued in NY
Practice address
961 Front Street
Uniondale, NY 11553-1642
Phone
(516) 481-2232
Fax
(516) 481-2368
NPI assigned
Oct 18, 2006
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 146704 NY Primary

Addresses

Primary practice location

961 Front Street
Uniondale, NY 11553-1642

Mailing address

961 Front Street
Uniondale, NY 11553-1642
Phone (516) 481-2232

Other identifiers 1

IdentifierTypeStateIssuer
00622440MedicaidNY

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
I20041223000169 NY Practitioner - Internal Medicine 2466410378 Reassigns benefits to 2 organizations
Practice locations: Uniondale, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

10017 23Rd Ave
East Elmhurst, NY 11369-1305
Phone (718) 205-8100

1060 Broadway
Suite 100
Menands, NY 12204-2507
Phone (248) 369-3315

2938 Far Rockaway Blvd
Far Rockaway, NY 11691-1947
Phone (718) 471-2600

60 Merrick Ave
East Meadow, NY 11554-1578
Phone (516) 222-9300

961 Front St
Uniondale, NY 11553-1646
Phone (516) 481-2232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146704NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Aug 30, 2023 Accepting new patients
Rama B. Raju, MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

1060 Broadway
Ste 100
Menands, NY 12204
Phone (248) 369-3315

Networks

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

Interoperability endpoints

  • Direct secure messaging: rama.raju@nassaumedicalpc.ehi.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meadowbrook Care Center, Inc.Freeport, NY, CCN 335796 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2017
Apr 17, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1609957000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 FRONT STREET",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531642",
            "telephone_number": "516-481-2232",
            "fax_number": "516-481-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 FRONT STREET",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115531642",
            "telephone_number": "516-481-2232",
            "fax_number": "516-481-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "RAMA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00622440",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

Verify at the official NPI Registry.