Rajendra C Rastogi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030524 Issued in NY

Practice address

103 E Burnside Ave
Bronx, NY 10453-4142

Phone

(718) 367-1113

Fax

(718) 561-6126

NPI assigned

Mar 14, 2007

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821122888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DECKER PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523709",
            "telephone_number": "201-652-1575",
            "fax_number": "718-561-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534142",
            "telephone_number": "718-367-1113",
            "fax_number": "718-561-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "RAJENDRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00286291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ella Rose Rastegar
• Hallie Rastegar, MS, CCC-SLP, TSSLD
• Tahmineh Rastegari
• Deepa Rastogi, MD
• Naresh Chandra Rastogi, D.D.S
• Shantanu Rastogi, MD
• Sayed Farhad Rasuli, MD
• Uma Ratakonda, M.D.
• Michelle Cynthia Ratau, MD, MPH
• Howard Ratech, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.