Active NPI
Mangala Rajan, M.D.
- Diagnostic Radiology Physician
- Wappingers Falls, NY
National Provider Identifier
1679519722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 174075
- Practice address
- 1323 Route 9
Suite 109
Wappingers Falls, NY 12590-4904 - Phone
- (845) 297-9495
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 174075 | NY | Primary |
Addresses
Primary practice location
1323 Route 9
Suite 109
Wappingers Falls, NY 12590-4904
Mailing address
1323 Route 9
Suite 109
Wappingers Falls, NY 12590-4904
Phone (845) 297-9495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01225621 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midhudson Radiology, P.C. | Diagnostic Radiology | Past | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
-
- Diagnostic Radiology Physician
- Wappingers Falls, NY
- NPI 1447438957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1679519722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 ROUTE 9",
"address_2": "SUITE 109",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904904",
"telephone_number": "845-297-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 ROUTE 9",
"address_2": "SUITE 109",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904904",
"telephone_number": "845-297-9495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "MANGALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "174075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01225621",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.