1588754881 NPI number — VIJAYKUMAR K RAJPUT MD

Table of content: VIJAYKUMAR K RAJPUT MD (NPI 1588754881)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588754881 NPI number — VIJAYKUMAR K RAJPUT MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAJPUT
Provider First Name:
VIJAYKUMAR
Provider Middle Name:
K
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588754881
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 COOPER PLZ
Provider Second Line Business Mailing Address:
THE COOPER HOSPITALIST
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08103-1438
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-342-3150
Provider Business Mailing Address Fax Number:
856-968-8418

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 COOPER PLZ
Provider Second Line Business Practice Location Address:
THE HOSPITALIST TEAM
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08103-1461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-342-3150
Provider Business Practice Location Address Fax Number:
856-968-8418
Provider Enumeration Date:
10/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MA65089 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: MD057271L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 707246 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CA0000063 . This is a "AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P451379 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 894785 . This is a "AMERIHEALTH PPO, PA BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3K6194 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0401944000 . This is a "AMERIHEALTH, KEYSTONE, IBC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 16866 . This is a "UNIVERSITY HEALTHPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7144601 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1070037 . This is a "HORIZON NJ HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1547549 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3076992 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".




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