Individual provider Active NPI

Gunjan Rao, MD

  • Pediatrics Physician
  • Jersey City, NJ
National Provider Identifier
1841392800
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
048898 Issued in CT
Practice address
9 McWilliams PL
Jersey City, NJ 07302-1609
Phone
(212) 226-7666
Fax
(212) 202-7988
NPI assigned
Sep 1, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA09529900 NJ
Pediatrics Physician 208000000X 048898 CT Primary

Addresses

Primary practice location

9 McWilliams PL
Jersey City, NJ 07302-1609

Mailing address

88 Morgan St Apt PH1-1
Jersey City, NJ 07302-1427
Phone (857) 225-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
048898CTMDPediatrics Physician
25MA09529900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tribeca Pediatrics Pediatrics CurrentSince Jun 9, 2024 Accepting new patients
Dubois Regional Medical Group, PC Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
Tribeca Pediatrics, PLLC PastSince Jun 9, 2024 Accepting new patients

Locations

5 N Dean St
Englewood, NJ 07631

9 McWilliams Pl
Jersey City, NJ 07302
Phone (201) 706-7175

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, 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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1841392800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MORGAN ST APT PH1-1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021427",
            "telephone_number": "857-225-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MCWILLIAMS PL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021609",
            "telephone_number": "212-226-7666",
            "fax_number": "212-202-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "GUNJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09529900",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "048898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.