Provider Demographics
NPI:1467828228
Name:TRANSITIONAL CARE MEDICAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:TRANSITIONAL CARE MEDICAL ASSOCIATES INC.
Other - Org Name:TRANSITIONAL CARE MEDICAL ASSOCIATES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJENDRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAIDOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-295-3870
Mailing Address - Street 1:12989 SOUTHERN BLVD, MOD 3, STE 202
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9291
Mailing Address - Country:US
Mailing Address - Phone:561-793-6633
Mailing Address - Fax:561-793-6693
Practice Address - Street 1:12989 SOUTHERN BLVD, MOD 3, STE 202
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9291
Practice Address - Country:US
Practice Address - Phone:561-793-6633
Practice Address - Fax:561-793-6693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME100199207XS0114X, 207XX0801X
FLARNP9381403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGOtherPENDING