Individual provider Active NPI

Gagandeep Raju, MD

  • Hospitalist Physician
  • East Meadow, NY
National Provider Identifier
1700263597
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
296694 Issued in NY
Practice address
2201 Hempstead Turnpike
Department of Medicine
East Meadow, NY 11554
Phone
(212) 241-1653
Fax
(212) 289-6393
NPI assigned
Apr 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 296694 NY Primary

Addresses

Primary practice location

2201 Hempstead Turnpike
Department of Medicine
East Meadow, NY 11554

Mailing address

2201 Hempstead Turnpike
Department of Medicine
East Meadow, NY 11554
Phone (224) 628-5523

Other names 1

  • Gagan Raju Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190104001300 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3072859537 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mskcc Clinical Practice PlanGroup PAC ID 4981704541, 84 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hematology Lymphoma Group CurrentSince Nov 4, 2023 Accepting new patients
Mskcc Clinical Practice Plan CurrentSince Nov 4, 2023 Accepting new patients
Maimonides Medical Center Maimonides Primary Care FPP CurrentSince Apr 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 1, 2018 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Nov 4, 2023 Accepting new patients
Mskcc Clinical Practice Plan CurrentSince Nov 4, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 1, 2018 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 12, 2019 Accepting new patients
Nassau Health Care Corporation CurrentSince Jan 12, 2019 Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

Networks

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

Interoperability endpoints

  • Direct secure messaging: graju26940@mskcc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1700263597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "224-628-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "212-241-1653",
            "fax_number": "212-289-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "GAGANDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "296694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAGAN",
            "last_name": "RAJU",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.