MEDICARE: DR. SANDEEP RATHI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	5MA08611000	NJ
2	208VP0000X	Pain Medicine Physician	25MA08611000	NJ

General Provider Information

NPI Number	:	1275723348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDEEP RATHI M.D.

Provider Business Mailing Address
First Line	:	90 MATAWAN RD STE 302
Second Line	:
City	:	MATAWAN
State	:	NJ
Zip	:	07747-2653
Country	:	US
Telephone Number	:	732-441-7177
Fax Number	:	732-441-7165

Provider Business Practice Location Address
First Line	:	1215 ROUTE 70 STE 1001
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-6958
Country	:	US
Telephone Number	:	732-584-2400
Fax Number	:	848-305-6003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	10/01/2025

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Directions to “ DR. SANDEEP RATHI M.D.” Practice Location

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