DR. RAJ KUMAR MAHAJAN (NPI# 1104869957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104869957 |
| Entity Type | Individual |
| Full Name | DR. RAJ KUMAR MAHAJAN |
| Credential | MD |
| Practice Address |
42 Montcalm St Oswego NY 13126 |
| Mailing Address |
42 Montcalm Street Oswego NY 13126 |
| Practice Telephone | 3153432590 |
| Practice Fax Number | 3153434197 |
| Mailing Telephone | 3153432590 |
| Mailing Fax Number | 3153434197 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 190331-1 | NY | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | 190331-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0160025 | 05 |
| Street Address |
42 MONTCALM ST |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144552 | Theresa M Naro | Midwife | 42 Montcalm St, Oswego, NY 13126-1321 | 2013-11-05 |
| 1528299641 | Brenda A. Pickhardt | Advanced Practice Midwife | 42 Montcalm St, Oswego, NY 13126-1321 | 2009-08-06 |
| 1043373855 | Oswego County Ob-gyn PC | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-12-19 |
| 1932135985 | Ronald Uva | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| 1649206608 | Joseph Edmund Mather Sr. | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| 1265468227 | Daniel Coty | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| 1629004635 | Judith A Dimarco | Nurse Practitioner | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073992673 | Edward Health Ventures | Obstetrics & Gynecology | 6701 Us Highway 34, Oswego, IL 60543-9129 | 2015-05-28 |
| 1285021964 | Raquel T Robles | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2015-04-21 |
| 1396162756 | Bryan Richard Sweeney | Obstetrics & Gynecology | 80 Templeton Dr, Oswego, IL 60543 | 2014-03-24 |
| 1508055351 | Rush-copley Medical Group, Nfp | Obstetrics & Gynecology | 4789 Route 71, Oswego, IL 60543-7415 | 2007-10-17 |
| 1043373855 | Oswego County Ob-gyn PC | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-12-19 |
| 1932135985 | Ronald Uva | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| 1649206608 | Joseph Edmund Mather Sr. | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| 1265468227 | Daniel Coty | Obstetrics & Gynecology | 42 Montcalm St, Oswego, NY 13126-1321 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.