Individual provider Active NPI

Rajivan Maniam, M.D.

  • Interventional Pain Medicine Physician
  • Whiting, NJ
National Provider Identifier
1639460132
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA10181100 Issued in NJ
Practice address
1100 Route 70
Whiting, NJ 08759-1003
Phone
(732) 202-3000
NPI assigned
May 2, 2011
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 296547 NY
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA10181100 NJ
Interventional Pain Medicine Physician 208VP0014X 25MA10181100 NJ Primary

Addresses

Primary practice location

1100 Route 70
Whiting, NJ 08759-1003

Mailing address

1100 Route 70
Whiting, NJ 08759-1003
Phone (732) 202-3000

Other practice location 1

635 Madison Ave Ste 1301
New York, NY 10022-1088
Phone (212) 715-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180521002698 DE Practitioner - Pain Management 0042526741 Reassigns benefits to 1 organization
I20200124000565 NY Practitioner - AnesthesiologyPractitioner - Pain Management 0042526741
I20230530002076 NJ Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 0042526741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garden State Medical Center, LLCGroup PAC ID 8123271806, 11 clinicians

Practice addresses (Care Compare)

1100 Route 70
Whiting, NJ 08759-1003
Phone (732) 202-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296547NYMDAnesthesiology Physician
25MA10181100NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic W Medical Care PLLC CurrentSince Nov 1, 2020 Accepting new patients
Garden State Medical Center, LLC CurrentSince Jun 5, 2023 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jun 3, 2018 Accepting new patients
Christiana Care Health Services, Inc Pain Medicine CurrentSince Jun 3, 2018 Accepting new patients
Geisinger Medical Center Interventional Pain Medicine Past Accepting new patients
Center for Spine and Joint Pain Relief LLC PastSince Apr 20, 2021 Accepting new patients
Sole Wellness & Aesthetics, LLC Past Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4755 Ogletown Stanton Rd
Ste 2E99
Newark, DE 19718
Phone (302) 623-3017

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1608 Route 88 W
Ste 102
Brick, NJ 08724
Phone (732) 240-6606

1109 Beacon Ave
Manahawkin, NJ 08050
Phone (609) 597-3416

1314 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 425-7772

100 State Route 36
Ste 2F
West Long Branch, NJ 07764

1100 Route 70
Whiting, NJ 08759
Phone (732) 886-4955

Networks

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

Organizations & group practices 8

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 1

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1639460132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 70",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591003",
            "telephone_number": "732-202-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROUTE 70",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087591003",
            "telephone_number": "732-202-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635 Madison Ave Ste 1301",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221088",
            "country_code": "US",
            "telephone_number": "212-715-0888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIAM",
        "first_name": "RAJIVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "296547",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA10181100",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA10181100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

Verify at the official NPI Registry.