Individual provider Active NPI

Ivannette Juarbe-Ramos, M. D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1083929525
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
276806 Issued in NY
Practice address
530 W 236TH St
Ste 1D
Bronx, NY 10463-1748
Phone
(718) 548-4560
Fax
(718) 548-6959
NPI assigned
Aug 9, 2010
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 276806 NY Primary

Addresses

Primary practice location

530 W 236TH St
Ste 1D
Bronx, NY 10463-1748

Mailing address

530 W 236TH St
Ste 1D
Bronx, NY 10463-1748
Phone (718) 548-4560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150129000846 NY Practitioner - Family Practice 2860716545 Reassigns benefits to 1 organization
I20221005001337 NJ Practitioner - Family Practice 2860716545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276806NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Sep 19, 2022 Accepting new patients
Sun River Health Inc Current Accepting new patients
Southern Westchester Nephrology PLLC Past Accepting new patients
Sayegh & Kump Family Med Practice PC Past Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

Interoperability endpoints

  • Direct secure messaging: ivannette.juarbe-ramos.1@5622.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1083929525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W 236TH ST",
            "address_2": "STE 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631748",
            "telephone_number": "718-548-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W 236TH ST",
            "address_2": "STE 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631748",
            "telephone_number": "718-548-4560",
            "fax_number": "718-548-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUARBE-RAMOS",
        "first_name": "IVANNETTE",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.