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

Dr. Madankumar Raj, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1528029162

Dr. Madankumar Raj, MD is an Interventional Pain Management in Great Neck, New York. Qualified in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2006
Specialties on file
3
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

600 Northern Blvd Ste 113
Great Neck, NY 11021
Phone: (516) 441-5739
Fax: (516) 441-5743
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 231493 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 231493 (NY)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 231493 (NY)

Record details

NPI number1528029162
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2006
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023
Mailing address11 Holiday Pond Rd, Jericho, NY 11753-1154

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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