Active NPI
Raghav Rastogi, MD
- Internal Medicine Physician
- Glen Ridge, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA09390800
- Practice address
- 123 Highland Ave
Glen Ridge, NJ 07028-1527 - Phone
- (973) 748-0678
- Fax
- (973) 748-2808
- NPI assigned
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 267161 | NY | |
| Internal Medicine Physician | 207R00000X | 25MA09390800 | NJ | Primary |
Addresses
Primary practice location
123 Highland Ave
Glen Ridge, NJ 07028-1527
Mailing address
PO Box 419430
Boston, MA 02241-9430
Phone (201) 666-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Bay Ave
Montclair, NJ 07042-4837
Phone (201) 781-1387
311 Bay Ave
Glen Ridge, NJ 07028-1607
Phone (973) 748-9246
622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900
Hospital & facility affiliations
- Atlantic Visiting Nurse
- Bayada Home Health Care, Inc
- Patient Care
- Hackensack Meridian Mountainside Medical
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09390800 | NJ | MD | Internal Medicine Physician |
| 267161 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montclair Hospital LLC | Current | Accepting new patients | |
| Montclair Hospital LLC | Internal Medicine | Current | Accepting new patients |
| MPV New Jersey MD Services PC | Current | Accepting new patients | |
| MPV New Jersey MD Services PC | Current | Accepting new patients |
Locations
452 Old Hook Rd
Fl 2
Emerson, NJ 07630
Phone (201) 599-1336
311 Bay Ave
Glen Ridge, NJ 07028
Phone (973) 748-9166
123 Highland Ave
Glen Ridge, NJ 07028
Phone (973) 746-7474
123 Highland Ave
Ste 201
Glen Ridge, NJ 07028
Phone (862) 333-4700
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
Interoperability endpoints
- rrastogi191463@ahs.direct-ci.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Westwood, NJ
- NPI 1215391271
-
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- Durable Medical Equipment & Medical Supplies
- Bloomfield, NJ
- NPI 1801542816
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
- Home Health Agency
- Livingston, NJ
- NPI 1639670045
-
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- Home Health Agency
- West Orange, NJ
- NPI 1922089929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1780985267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419430",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419430",
"telephone_number": "201-666-3900",
"fax_number": "201-261-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HIGHLAND AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281527",
"telephone_number": "973-748-0678",
"fax_number": "973-748-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASTOGI",
"first_name": "RAGHAV",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-15",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "267161",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09390800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.