Shalini Nagarajan Raghu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08140300 Issued in NJ

Practice address

765 John F Kennedy Blvd
Bayonne, NJ 07002

Phone

(201) 823-4141

Fax

(201) 823-1141

NPI assigned

Jan 24, 2007

Sex

Female

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

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Bayonne Pediatric Practice

  • Pediatrics Physician
  • Bayonne, NJ
  • NPI 1427416304
  Medicare reassignment NPD Authorized official
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1942355680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMARACK RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203630",
            "telephone_number": "201-823-4141",
            "fax_number": "201-823-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 JOHN F KENNEDY BLVD",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-823-4141",
            "fax_number": "201-823-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHU",
        "first_name": "SHALINI",
        "middle_name": "NAGARAJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-04-21",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08140300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129534",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Qiubing Qian, M.D.
• Quality Foot and Ankle Center
• Quickchek Pharmacy
• Miryam Quinn Doblas, PA-C
• R Bansal Medical PLLC
• Shafi Rahman, D.O.
• Zahid Fazal Rahman, MBBS
• Dayal Sankar Rajagopalan, MD
• Kovil Ramasamy, M.D.,
• Christina Ramdat, LPC, LCADC

• Pediatrics Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.