Physician Compare National (NPI:1265528111)

HEALTHCARE PROVIDER: RAJIV J PATHAK M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265528111
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860550118
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081015000461
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PATHAK
	Individual professional last name
Provider First Name	RAJIV
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	230 RTE
	Group Practice or individual's line 1 address
Line 2 Street Address	206 SUITE 207
	Group Practice or individual's line 2 address
City	FLANDERS
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	078369190
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	HACKETTSTOWN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y