Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rajesh Mariwalla, MD PC

Organization Pediatrics Physician · NPI 1457741035

Rajesh Mariwalla, MD PC is a Pediatrics Physician in West Islip, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1175 Montauk Hwy Ste 4
West Islip, NY 11795-4939
Phone: (631) 422-9600
Fax: (631) 422-9697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 153786 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 217202 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 209194 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 008888 (NY)

Record details

NPI number1457741035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rajesh Mariwalla — Md · (631) 422-9600
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 18, 2015
Mailing address1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939

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