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NPI Code Detail

MEDICARE: MR. JAGEN RAJ RAJAH PT, DPT

MEDICARE: MR. JAGEN RAJ RAJAH PT, DPT
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
1225100000XPhysical Therapist051550NY

General Provider Information

NPI Number : 1770438731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAGEN RAJ RAJAH PT, DPT
Provider Business Mailing Address
First Line : 2120 CRUGER AVE APT 4C
Second Line :
City : BRONX
State : NY
Zip : 10462-2337
Country : US
Telephone Number : 201-918-0394
Fax Number :
Provider Business Practice Location Address
First Line : 1000 PELHAM PKWY S
Second Line :
City : BRONX
State : NY
Zip : 10461-1003
Country : US
Telephone Number : 201-918-0394
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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