Individual provider Active NPI

Gitanjali Rajendram, DDS

  • Dentist
  • Brandywine, MD
National Provider Identifier
1962694125
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17605 Issued in MD
Practice address
7450 Albert Rd Ste 3
Brandywine, MD 20613-3035
Phone
(301) 888-2233
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17605 MD Primary
Dentist 122300000X 22D102702701 NJ

Addresses

Primary practice location

7450 Albert Rd Ste 3
Brandywine, MD 20613-3035

Mailing address

451 Swann Ave Apt 543
Alexandria, VA 22301-1579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150429001410 NY Practitioner - DentistPractitioner - Oral Surgery 9032438866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17605MDMDDentist
22D102702701NJMDDentist
053603NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Feb 4, 2019 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Feb 4, 2019 Accepting new patients
Southwest Virginia Community Health Systems Incorporated Past Accepting new patients

Locations

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1962694125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SWANN AVE APT 543",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD STE 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJENDRAM",
        "first_name": "GITANJALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17605",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102702701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.