Individual provider Active NPI

Raj Chablani, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1770894198
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
280040 Issued in NY
Practice address
303 5TH Ave RM 2012
New York, NY 10016-6625
Phone
(347) 213-8862
NPI assigned
Jun 30, 2010
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 280040 NY Primary
Psychiatry Physician 2084P0800X MT198048 PA
Psychiatry Physician 2084P0800X 036.158689 IL

Addresses

Primary practice location

303 5TH Ave RM 2012
New York, NY 10016-6625

Mailing address

303 5TH Ave RM 2012
New York, NY 10016-6625
Phone (267) 625-6446

Other practice location 1

30 E 33rd St Fl 5
New York, NY 10016-5337
Phone (212) 366-4459

Other identifiers 2

IdentifierTypeStateIssuer
04191902MedicaidNY
036.158689MedicaidIL

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
I20180113000129 NY Practitioner - Psychiatry 9335434190 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.158689ILMDPsychiatry Physician
280040NYMDPsychiatry Physician
MT198048PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Psychiatry Current Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Apr 17, 2018 Accepting new patients
Care for the Homeless CurrentSince Feb 24, 2026 Accepting new patients
Care for the Homeless CurrentSince Feb 24, 2026 Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients

Locations

2759 Webster Ave
Bronx, NY 10458
Phone (347) 269-4706

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

528 Morris Ave
Bronx, NY 10451
Phone (718) 402-9000

800 Barretto St
Bronx, NY 10474
Phone (347) 269-4572

9023 161st St
Jamaica, NY 11432
Phone (718) 709-5054

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

635 W 165th St
Ste 636
New York, NY 10032
Phone (212) 342-1600

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rchablani1246542@nychhc.direct-ci.com
  • Direct secure messaging: rchablani581080@direct.ochin.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1770894198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 2012",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166625",
            "telephone_number": "267-625-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 2012",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166625",
            "telephone_number": "347-213-8862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E 33rd St Fl 5",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100165337",
            "country_code": "US",
            "telephone_number": "212-366-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHABLANI",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "280040",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT198048",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.158689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04191902",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.158689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.