Organization Active NPI

Arjun Medical Group PC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1689782948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212412 Issued in NY
Legal business name
ARJUN MEDICAL GROUP PC
Practice address
120 E 36TH St
Ste 1E
New York, NY 10016
Phone
(212) 685-2058
Fax
(212) 685-2811
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Papanna Ravichandra, MDNPI 1275602096
Title
MD
Phone
(212) 685-2058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 212412 NY Primary

Addresses

Primary practice location

120 E 36TH St
Ste 1E
New York, NY 10016

Mailing address

120 E 36TH St
Ste 1E
New York, NY 10016
Phone (212) 685-2058

Other identifiers 2

IdentifierTypeStateIssuer
01776883MedicaidNY
P1120559OtherOXFORD INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041113000045 NY Part B Supplier - Clinic/Group Practice 9537123203 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

120 E 36th St
Ste 1E
New York, NY 10016
Phone (212) 888-2222

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689782948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 36TH ST",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-685-2058",
            "fax_number": "212-685-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 36TH ST",
            "address_2": "STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-685-2058",
            "fax_number": "212-685-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARJUN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAVICHANDRA",
        "authorized_official_first_name": "PAPANNA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "212-685-2058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01776883",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P1120559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.