Deepa Rajiv, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08250600 Issued in NJ

Practice address

60 Evergreen Place
Suite 400
East Orange, NJ 07018

Phone

(973) 395-1550

Fax

(973) 395-1556

NPI assigned

Aug 17, 2006

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deepa.rajiv@323881099460612.direct.elationemr.com

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.

• Goldson Medical Associates, LLC

  • Internal Medicine Physician
  • South Orange, NJ
  • NPI 1184668485
  Medicare reassignment NPD
• Shah Primary Care

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1750056644
  Medicare reassignment NPD
• The Heart Center of the Oranges

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1477532588
  Medicare reassignment
• Medassist USA LLC

  • Case Management Agency
  • Lakewood, NJ
  • NPI 1982211439
  NPD
• The Heart Center of the Oranges

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1336657840
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1891808390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EDGEWOOD ROAD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PLACE",
            "address_2": "SUITE 400",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-395-1550",
            "fax_number": "973-395-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJIV",
        "first_name": "DEEPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36116763",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08250600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "036116763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald J Racek, D.C.
• Shaleeza Rafiuddin
• Vijay Ragavan, M.D
• Stephanie Rajaram, LCSW
• Jacqueline Carol Raji
• Gitendra Rajiyah, MD
• Tara Rajiyah, MD
• Amrit Rambhajan, MD
• Alan Ramos
• Orlando Ramos, LCSW

• Internal Medicine Physician in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.