RAJASHREE KANTHA, M.D., P.A.
NPI 1184888091
Family Medicine in Ridgewood, NJ

Active since July 10, 2008
1124 E RIDGEWOOD AVE STE 102, RIDGEWOOD, NJ 07450(201) 445-7744(201) 445-7767 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2021, Aug 2, 2019 (2 updates tracked since 2019).

About Rajashree Kantha, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJASHREE KANTHA, M.D., P.A. (NPI 1184888091) is a healthcare organization registered as a family medicine in Ridgewood, New Jersey and active in the NPI registry since July 2008. The organization lists Rajashree Kantha, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1184888091
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRAJASHREE KANTHA, M.D., P.A.
Location Address1124 E RIDGEWOOD AVE STE 102Ridgewood, NJ 07450-3943
Mailing Address1124 E Ridgewood Ave Ste 102Ridgewood, NJ 07450-3943 · (201) 445-7744 · Fax (201) 445-7767
Fax(201) 445-7767
Organization SubpartNo
Authorized OfficialRajashree KanthaMedical Doctor · (201) 445-7744
Enumeration DateJuly 10, 2008
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
✔ NPI 1184888091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA07366300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1124 E RIDGEWOOD AVE STE 102, Ridgewood, NJ 07450

Other Identifiers 1

Other0110617NJ · Ghi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rajashree Kantha, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20051115000006Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rajashree Kantha, M.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1417991381
1124 E RIDGEWOOD AVE STE 102
Ridgewood, NJ 07450
(201) 445-7744
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajashree Kantha, M.D., P.A.'s NPI number?

The NPI number for Rajashree Kantha, M.D., P.A. is 1184888091. It was assigned to this organization in the NPPES registry on July 10, 2008.

Where is Rajashree Kantha, M.D., P.A. located?

Rajashree Kantha, M.D., P.A. is located at 1124 E Ridgewood Ave Ste 102, Ridgewood, NJ 07450. The listed phone number is (201) 445-7744.

What is Rajashree Kantha, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rajashree Kantha, M.D., P.A. enrolled in Medicare?

Yes. Rajashree Kantha, M.D., P.A. is registered in the Medicare PECOS enrollment system.

When is Rajashree Kantha, M.D., P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rajashree Kantha, M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rajashree Kantha, M.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rajashree Kantha, M.D., P.A. was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.