Healthcare Provider Details

I. General information

NPI: 1366597098
Provider Name (Legal Business Name): RAJIV JAUHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LIJMC DEPT OF MEDICINE CARDIOLOGY 270 05 76TH AVENUE
NEW HYDE PARK NY
11040
US

IV. Provider business mailing address

300 COMMUNITY DR
MANHASSET NY
11030-3816
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-7340
  • Fax:
Mailing address:
  • Phone: 516-562-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number198864
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: