Individual provider Active NPI

Rajen Priyavadan Maniar, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1982661385
Registry record updated Mar 8, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
238838 Issued in NY
Practice address
4405 Parsons Blvd
Flushing, NY 11355-2183
Phone
(718) 347-7848
Fax
(718) 347-7830
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 238838 NY Primary

Addresses

Primary practice location

4405 Parsons Blvd
Flushing, NY 11355-2183

Mailing address

4405 Parsons Blvd
Flushing, NY 11355-2183
Phone (718) 347-7848

Other identifiers 1

IdentifierTypeStateIssuer
02298699MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
001478NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel Medical PC CurrentSince Feb 1, 2012 Accepting new patients
Elmhurst Ave Medical Diagnostic, P.C. Cardiovascular Disease PastSince Nov 8, 2007 Accepting new patients
Blue Star Medical PC PastSince Feb 1, 2012 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Past Accepting new patients
North Valley Medical, PC Cardiovascular Disease Past Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc PastSince Apr 8, 2009 Accepting new patients
Hillside Polymedic P.C. Past Accepting new patients
Ib Family Medical PC Past Accepting new patients

Locations

1000 Park Blvd
Rear Anx
Massapequa Pk, NY 11762
Phone (516) 795-8446

Interoperability endpoints

  • Direct secure messaging: rajenm@hillsidepolymedic.medentdirect.com

Organizations & group practices 8

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1982661385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552183",
            "telephone_number": "718-347-7848",
            "fax_number": "718-347-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552183",
            "telephone_number": "718-347-7848",
            "fax_number": "718-347-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "RAJEN",
        "middle_name": "PRIYAVADAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "238838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02298699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.