JEFFREY RAJKUMAR - NPI 1396327110 - Student in an Organized Health Care Education/Training Program in North New Hyde Park, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Jeffrey Rajkumar NPPES

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

JEFFREY RAJKUMAR (NPI 1396327110) is an individual student in an organized health care education/training program in North New Hyde Park, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1396327110

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJEFFREY RAJKUMAR

Location Address1991 MARCUS AVE STE 300North New Hyde Park, NY 11042-2058

Mailing Address1991 Marcus Ave Ste 300North New Hyde Park, NY 11042-2058 · (309) 642-9122

Phone(516) 719-3376

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022

Enumeration DateApril 21, 2021

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1396327110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1991 MARCUS AVE STE 300, North New Hyde Park, NY 11042

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Rajkumar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032615000

PECOS Enrollment IDI20250930001999

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.