Raju Neville Navaratnam, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

74287 Issued in MA

Practice address

100 Franklin St
Lawrence, MA 01840-1132

Phone

(978) 682-8343

Fax

(978) 682-8343

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750462123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ALGONQUIN AVE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018105527",
            "telephone_number": "978-475-4197",
            "fax_number": "978-682-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FRANKLIN ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401132",
            "telephone_number": "978-682-8343",
            "fax_number": "978-682-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARATNAM",
        "first_name": "RAJU",
        "middle_name": "NEVILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "74287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768041",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasky & Goldfinger Medical, Inc.
• Julie Ann Nason, L.M.H.C.
• Jordan A Natalino
• Anand Gopalan Nataraj, M.D.
• Elisenda Naudeillo, RN
• Brenda Del Carmen Navarro Galindo, MD
• Courtney L Navarro
• Isely Naveo
• Angel Nazario
• Albert Ndivo

• Primary Care Clinic/Center in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.