Active NPI
Gabriel Rama, M.D.
- Pediatric Cardiology Physician
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 25MA10162700
- Practice address
- 155 Polifly Rd Ste 106
Hackensack, NJ 07601-1749 - Phone
- (201) 487-7617
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Cardiology Physician | 2080P0202X | 25MA10162700 | NJ | Primary |
Addresses
Primary practice location
155 Polifly Rd Ste 106
Hackensack, NJ 07601-1749
Mailing address
155 Polifly Rd Ste 106
Hackensack, NJ 07601-1749
Phone (201) 487-7617
Other practice location 1
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (201) 988-4415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Rowan University School of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-5045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10162700 | NJ | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Single Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Single Specialty | Past | Accepting new patients |
Locations
155 Polifly Rd
Hackensack, NJ 07601
Phone (201) 343-6360
155 Polifly Rd
Ste 106
Hackensack, NJ 07601
Phone (201) 441-9980
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
2 Hospital Plz
Ste 340
Old Bridge, NJ 08857
Phone (732) 360-3520
Interoperability endpoints
- gabriel.rama@direct.hackensackmeridian.org
- grama190143@ahs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
Single Specialty
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1093976797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 POLIFLY RD STE 106",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011749",
"telephone_number": "201-487-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 POLIFLY RD STE 106",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011749",
"telephone_number": "201-487-7617"
}
],
"practiceLocations": [
{
"address_1": "30 Prospect Ave",
"address_purpose": "LOCATION",
"city": "Hackensack",
"state": "NJ",
"postal_code": "076011915",
"country_code": "US",
"telephone_number": "201-988-4415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMA",
"first_name": "GABRIEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "NJ",
"license": "25MA10162700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.