Individual provider Active NPI

Andrea Mathews Ramirez, PA-C

  • Physician Assistant
  • Morristown, NJ
National Provider Identifier
1003015108
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5101 Issued in GA
Practice address
435 South St Ste 220a
Morristown, NJ 07960
Phone
(973) 971-4222
Fax
(973) 290-7050
NPI assigned
Jul 17, 2007
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5101 GA Primary
Medical Physician Assistant 363AM0700X 25MP00366500 NJ

Addresses

Primary practice location

435 South St Ste 220a
Morristown, NJ 07960

Mailing address

1102 W Waugh St
Dalton, GA 30720-8769
Phone (706) 277-2321

Other practice location 1

100 US Highway 46 E Ste 204
Mountain Lakes, NJ 07046
Phone (973) 917-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727000987 GA Practitioner - Physician Assistant 7810255403 Reassigns benefits to 2 organizations
I20241030001346 TN Practitioner - Physician Assistant 7810255403 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1993TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Lakes Medical Center, LLC PastSince Sep 1, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2145/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1003015108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 W WAUGH ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208769",
            "telephone_number": "706-277-2321",
            "fax_number": "706-278-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH ST STE 220A",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4222",
            "fax_number": "973-290-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 US Highway 46 E Ste 204",
            "address_purpose": "LOCATION",
            "city": "Mountain Lakes",
            "state": "NJ",
            "postal_code": "07046",
            "country_code": "US",
            "telephone_number": "973-917-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ANDREA",
        "middle_name": "MATHEWS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5101",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00366500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.