Individual provider Active NPI

Ranjit C Rajaratnam, MD

  • Psychiatry Physician
  • Teaneck, NJ
National Provider Identifier
1932145943
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
447580 Issued in NJ
Practice address
765 Teaneck Rd
Teaneck, NJ 07666-4248
Phone
(201) 837-7003
Fax
(201) 837-2027
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 447580 NJ Primary

Addresses

Primary practice location

765 Teaneck Rd
Teaneck, NJ 07666-4248

Mailing address

765 Teaneck Rd
Teaneck, NJ 07666-4248
Phone (201) 837-7003

Other identifiers 1

IdentifierTypeStateIssuer
0376302MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000179 NJ Practitioner - NeuropsychiatryPractitioner - Psychiatry 5294816112 Practice locations: Teaneck, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
447580NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients
Nys Office of Mental Health Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1932145943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664248",
            "telephone_number": "201-837-7003",
            "fax_number": "201-837-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664248",
            "telephone_number": "201-837-7003",
            "fax_number": "201-837-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "RANJIT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "447580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0376302",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.