Active NPI
Rajendra Mohan Agrawal, MD
- Specialist
- Warsaw, NY
National Provider Identifier
1699736298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 142026
- Practice address
- 408 North Main Street
Warsaw, NY 14569 - Phone
- (585) 786-2540
- Fax
- (585) 786-7958
- NPI assigned
- Mar 31, 2006
- Last updated
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 142026 | NY | Primary |
Addresses
Primary practice location
408 North Main Street
Warsaw, NY 14569
Mailing address
408 North Main Street
Warsaw, NY 14569
Phone (585) 786-2540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00748747 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142026 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1699736298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 NORTH MAIN STREET",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-786-2540",
"fax_number": "585-786-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 NORTH MAIN STREET",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-786-2540",
"fax_number": "585-786-7958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "RAJENDRA",
"middle_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "142026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00748747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, NY
- Tristen Abbott
- Abdul R Chaudhry Internal Medicine PC
- Kelsey Marie Adams, PA-C
- Mridu B Agarwal, MD
- Tina Aldridge
- Allegany Rehabilitation Associates, Inc (Clarity Wellness Community)
- Allegany Rehabilitation Associates, Inc
- Allegany Rehabilitation Associates, Inc
- Allegany Rehabilitation Associates, Inc. (Wyo. Co. Chemical Abuse Tx Program)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.