Individual provider Active NPI

Gabriel Rama, M.D.

  • Pediatric Cardiology Physician
  • Hackensack, NJ
National Provider Identifier
1093976797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
25MA10162700 Issued in NJ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000116 NJ Practitioner - Pediatric Medicine 2062779630 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25MA10162700NJMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Nov 22, 2017 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Single Specialty CurrentSince Nov 22, 2017 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

  • Direct secure messaging: gabriel.rama@direct.hackensackmeridian.org
  • Direct secure messaging: grama190143@ahs.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.