Natasha Anushri Anandaraja, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

237825 Issued in NY

Practice address

3433 Junction Blvd
2ND FL
Jackson Heights, NY 11372-3828

Phone

(718) 476-7635

NPI assigned

Nov 28, 2007

Last updated

Jan 30, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1952583205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BROADWAY",
            "address_2": "BOX 72 RM 831 NYCDOHMH DIVISION OF DISEASE CONTROL THIR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133990",
            "telephone_number": "212-442-8468",
            "fax_number": "212-442-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 JUNCTION BLVD",
            "address_2": "2ND FL",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723828",
            "telephone_number": "718-476-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANDARAJA",
        "first_name": "NATASHA",
        "middle_name": "ANUSHRI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "237825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.