Individual provider Active NPI

Nagai Rajendran, MD

  • Urology Physician
  • Yonkers, NY
National Provider Identifier
1639194855
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
115637 Issued in NY
Practice address
944 N Broadway
Suite 103
Yonkers, NY 10701-1304
Phone
(914) 968-0000
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 115637 NY Primary

Addresses

Primary practice location

944 N Broadway
Suite 103
Yonkers, NY 10701-1304

Mailing address

532 Broadhollow Rd
Suite 142
Melville, NY 11747-3672
Phone (516) 931-0041

Other identifiers 1

IdentifierTypeStateIssuer
00213781MedicaidNY

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
I20040724000306 NY Practitioner - Urology 7618957044 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115637NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Westchester Urology PLLC Urology CurrentSince Oct 1, 2023 Accepting new patients
Integrated Medical Professionals PLLC Past Accepting new patients

Locations

944 N Broadway
Ste G06
Yonkers, NY 10701
Phone (914) 378-1000

Interoperability endpoints

  • Direct secure messaging: nagairajendran@imppllc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1639194855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BROADHOLLOW RD",
            "address_2": "SUITE 142",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473672",
            "telephone_number": "516-931-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 N BROADWAY",
            "address_2": "SUITE 103",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011304",
            "telephone_number": "914-968-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAN",
        "first_name": "NAGAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "115637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00213781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.