DR. RAJAPRIYA MANICKAM MD
NPI 1285938431
Internal Medicine - Pulmonary Disease in Fair Lawn, NJ

Active since January 03, 2011PECOS EnrolledAccepts Medicare Assignment
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410(201) 414-5732 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rajapriya Manickam Md NPPES

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

DR. RAJAPRIYA MANICKAM MD (NPI 1285938431) is an individual pulmonary disease provider in Fair Lawn, New Jersey, licensed in New Jersey (25MA09683500) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285938431
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. RAJAPRIYA MANICKAMCredential: MD
Location Address22-02 BROADWAY STE 301Fair Lawn, NJ 07410-3016
Mailing Address234 E 149th St DeptBronx, NY 10451-5504 · (718) 579-5278 · Fax (718) 579-4836
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 3, 2011
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1285938431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NJ · 25MA09683500 Licensed in NY · 279694
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 279694 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 279694 (NY)
22-02 BROADWAY STE 301, Fair Lawn, NJ 07410

Secondary Practice Locations 2

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-5874 · Fax (718) 579-4836
Location 2703 Main StPaterson, NJ 07503-2621 · Phone (973) 754-2027 · Fax (973) 754-3665

Other Identifiers 1

Medicaid0484458NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajapriya Manickam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254501208
PECOS Enrollment IDI20150814013231
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
224 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
163 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services65 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
67 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
65 services34 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
62 services54 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410
Non-Pharmacy Dispensing Site
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410
Internal Medicine (Gastroenterology)
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410
Internal Medicine (Hematology & Oncology)
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410
Internal Medicine (Rheumatology)
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410
Nurse Practitioner (Family)
22-02 BROADWAY STE 301
FAIR LAWN, NJ 07410

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 Rajapriya Manickam's NPI number?

The NPI number for Rajapriya Manickam is 1285938431. It was assigned to this individual provider in the NPPES registry on January 3, 2011.

Where is Rajapriya Manickam located?

Rajapriya Manickam practices at 22-02 Broadway Ste 301, Fair Lawn, NJ 07410. The listed phone number is (201) 414-5732.

What is Rajapriya Manickam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajapriya Manickam enrolled in Medicare?

Yes. Rajapriya Manickam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rajapriya Manickam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rajapriya Manickam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rajapriya Manickam affiliated with any hospitals?

According to CMS data, Rajapriya Manickam is affiliated with St Joseph's University Medical Center Inc and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Rajapriya Manickam was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.