Individual provider Active NPI

Nishan George Rajaratnam, MD

  • Infectious Disease Physician
  • Randolph, NJ
National Provider Identifier
1972091171
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA11085600 Issued in NJ
Practice address
765 Route 10 E Ste 201
Randolph, NJ 07869-1925
Phone
(973) 989-0068
NPI assigned
Apr 24, 2018
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 25MA11085600 NJ Primary

Addresses

Primary practice location

765 Route 10 E Ste 201
Randolph, NJ 07869-1925

Mailing address

105 Raider Blvd Ste 101
Hillsborough, NJ 08844-1528
Phone (908) 281-0221

Other practice location 1

7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 710-2716

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
I20230919004161 NJ Practitioner - Infectious DiseasePractitioner - Internal Medicine 7719341072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliated Medical Associates of Morristown, PAGroup PAC ID 7618960436, 2 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 538-8837

25 Rockwood PL
Suite 120
Englewood, NJ 07631-4958
Phone (201) 568-3335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC CurrentSince Sep 1, 2025 Accepting new patients
Affiliated Medical Associates of Morristown, P.a. Infectious Disease CurrentSince Oct 1, 2023 Accepting new patients
Id Care LLC Infectious Disease CurrentSince Sep 4, 2024 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Sep 1, 2025 Accepting new patients
Travel Heath Consultants, LLC Infectious Disease Past Accepting new patients

Locations

25 Rockwood Pl
Ste 120
Englewood, NJ 07631
Phone (201) 227-5533

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

220 Ridgedale Ave
Ste C2
Florham Park, NJ 07932
Phone (973) 538-5844

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

105 Raider Blvd
Ste 101
Hillsborough, NJ 08844
Phone (908) 281-0221

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

25 Lindsley Dr
Ste 311
Morristown, NJ 07960
Phone (973) 538-5844

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

765 Route 10 E
Ste 201
Randolph, NJ 07869
Phone (973) 479-1128

765 State Route 10
Randolph, NJ 07869
Phone (973) 366-1789

Interoperability endpoints

  • Direct secure messaging: nrajaratnam502355@direct.ahsys.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1972091171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RAIDER BLVD STE 101",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088441528",
            "telephone_number": "908-281-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 ROUTE 10 E STE 201",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078691925",
            "telephone_number": "973-989-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 River Rd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070476217",
            "country_code": "US",
            "telephone_number": "201-710-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJARATNAM",
        "first_name": "NISHAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA11085600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.