Active NPI
Rajendra Pradhan, MD PC
- Nephrology Physician
- New York, NY
National Provider Identifier
1992894943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 114439
- Practice address
- 372 Central Park West
Apartment 12G
New York, NY 10025-8209 - Phone
- (212) 677-0396
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 114439 | NY | Primary |
Addresses
Primary practice location
372 Central Park West
Apartment 12G
New York, NY 10025-8209
Mailing address
372 Central Park West
Apartment 12GH
New York, NY 10025-8209
Phone (347) 875-0139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020949 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114439 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Hospital and Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- New York, NY
- NPI 1285746354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1992894943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 CENTRAL PARK WEST",
"address_2": "APARTMENT 12GH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100258209",
"telephone_number": "347-875-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 CENTRAL PARK WEST",
"address_2": "APARTMENT 12G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100258209",
"telephone_number": "212-677-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "RAJENDRA",
"name_prefix": "Dr.",
"credential": "MD PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "114439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020949",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.