Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Dr. Ajantha Rangasamy, MD

Individual provider Internal Medicine Physician · NPI 1194882613

Dr. Ajantha Rangasamy, MD practises Internal Medicine in Staten Island, New York. Qualified in 1996, 30 years ago. Practices with Garden State Healthcare Associates LLC, a 175-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664 Not confirmed with CMS for 19 years — call before visiting
Phone: (718) 818-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 241341 (NY)

Record details

NPI number1194882613
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Garden State Healthcare Associates Llc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients67
Services billed 320 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Garden State Healthcare Associates LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 175 clinicians in the practice; 12 are shown here.

Other providers in Staten Island