NPIMap

Individual provider Active NPI

John Seneka Rajapakse, M.D.

  • Internal Medicine Physician
  • Perth Amboy, NJ
National Provider Identifier
1639377914
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08277300 Issued in NJ
Practice address
495 New Brunswick Ave
Perth Amboy, NJ 08861-3653
Phone
(732) 442-4422
Fax
(732) 442-3577
NPI assigned
Jul 6, 2007
Last updated
Nov 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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 25MA08277300 NJ Primary

Addresses

Primary practice location

495 New Brunswick Ave
Perth Amboy, NJ 08861-3653

Mailing address

495 New Brunswick Ave
Perth Amboy, NJ 08861-3653
Phone (732) 442-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080512000149 NJ Practitioner - Internal Medicine 4284713595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

495 New Brunswick Ave
Perth Amboy, NJ 08861-3653
Phone (732) 442-4422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as individual
Quality
92
Improvement activities
40
Cost
69.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08277300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John S. Rajapakse, MD PA Internal Medicine CurrentSince Oct 1, 2011 Accepting new patients
Spring Creek Rehabilitation and Nursing Center LLC Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Carrier Behavioral Health Inc Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

495 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 442-4422

Interoperability endpoints

  • Direct secure messaging: johnrajapakse@rajapakse.ssdirect.aprima.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1639377914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613653",
            "telephone_number": "732-442-4422",
            "fax_number": "732-442-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613653",
            "telephone_number": "732-442-4422",
            "fax_number": "732-442-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAPAKSE",
        "first_name": "JOHN",
        "middle_name": "SENEKA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08277300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

Verify at the official NPI Registry.