DR. LOGI RAJAGOPALAN (NPI# 1508849415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508849415 |
| Entity Type | Individual |
| Full Name | DR. LOGI RAJAGOPALAN |
| Other Name | DR. LOGESWARY RAJAGOPALAN |
| Credential | MD |
| Practice Address |
506 Lenox Ave Mlk 17-125 New York NY 10037-1802 |
| Mailing Address |
506 Lenox Ave Mlk17-125 New York NY 10037-1802 |
| Practice Telephone | 2129393702 |
| Mailing Telephone | 2129393702 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
251342 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02557817 | 05 |
| Street Address |
506 LENOX AVE MLK 17-125 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506994 | Jean Mary Barber | Physical Medicine & Rehabilitation | 506 Lenox Ave, Room 3122 Mlk Building, New York, NY 10037 | 2005-08-25 |
| 1821695891 | Gregoire Francois Jocelyn Jr. | General Practice | 506 Lenox Ave, New York, NY 10037-1802 | 2020-10-02 |
| 1992317259 | Marta Reyes | Social Worker | 506 Lenox Ave, New York, NY 10037-1889 | 2020-08-18 |
| 1841800406 | Ifeoma P. Kwentoh | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-08-07 |
| 1780209833 | Nkwachi C Ebere | Nurse Practitioner | 506 Lenox Ave, New York, NY 10037-1889 | 2020-06-15 |
| 1184246795 | Atin Kumar Shaha | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-18 |
| 1093337834 | Quilvio Antonio Rodriguez | Registered Nurse | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-14 |
| 1811519895 | Treyvon Deshawnte Merritt | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1889 | 2020-05-12 |
| 1376165597 | Fiza Mustafa | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-11 |
| 1326660630 | Preeti Nallan Chakravarthula | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, New York, NY 10037-1802 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1023341583 | Rishma Chand | Pediatrics | 344 W 12th St, Apt 3d, New York, NY 10014-1707 | 2009-09-15 |
| 1568604031 | Ramon E Gist | Pediatrics | 525 E 68th St Rm M508, New York, NY 10065-4870 | 2009-03-31 |
| 1073770913 | Michelle Marie Ramirez-joglar | Pediatrics | 525 E 68th St # M-501, New York, NY 10065-4870 | 2008-05-19 |
| 1194862516 | Robert Stanley Hum | Pediatrics | 3959 Broadway # Chn10-24, New York, NY 10032-1559 | 2007-02-01 |
| 1356403042 | Mayank Shukla | Pediatrics | 345 E 37th St Rm 319, New York, NY 10016-3256 | 2006-12-16 |
| 1396701389 | Robert Mansfield | Pediatrics | 36 W 84th St, Apt 1b, New York, NY 10024-4739 | 2006-04-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.