Individual provider Active NPI

Ravi Yangala, M.D.

  • Neurology Physician
  • Somers Point, NJ
National Provider Identifier
1144216755
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA0791600 Issued in NJ
Practice address
649 Shore Rd
Somers Point, NJ 08244-2449
Phone
(609) 365-6202
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MA0791600 NJ Primary

Addresses

Primary practice location

649 Shore Rd
Somers Point, NJ 08244-2449

Mailing address

1 E. New York Ave
4TH Floor Admin
Somers Point, NJ 08244
Phone (609) 653-3265

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
I20060113000741 NJ Practitioner - Neurology 5496646002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Specialty ConsultantsGroup PAC ID 1951613652, 42 clinicians

Practice addresses (Care Compare)

1 E New York Ave
4TH Floor SPG Admin
Somers Point, NJ 08244-2300

100 Medical Ctr Way
3Rd Floor
Somers Point, NJ 08244-2300
Phone (609) 653-3585

4 W Roosevelt Blvd
Marmora, NJ 08223-1441
Phone (609) 814-9550

Hospital & facility affiliations

  • Shore Medical Center Hospital, Somers Point, NJ, CCN 310047

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
82.11
Promoting interoperability
100
Improvement activities
40
Cost
68.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA0791600NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Specialty Consultants CurrentSince Jun 15, 2015 Accepting new patients
University Physicians of Brooklyn, Inc. Neurology Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients
Medcom Neurological Services, LLC Neurology Past Accepting new patients
Shore Family Medicine Ass Past Accepting new patients
Bayfront Urgent Care PA PastSince Jul 23, 2023 Accepting new patients

Locations

4 W Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 365-6202

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

649 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6239

700 Shore Rd
Somers Point, NJ 08244
Phone (609) 365-6212

Organizations & group practices 6

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.

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1144216755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "address_2": "4TH FLOOR ADMIN",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 SHORE RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442449",
            "telephone_number": "609-365-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANGALA",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA0791600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.