Active NPI
Ravi Kumar Venkataraman, MD
- Anesthesiology Physician
- Passaic, NJ
National Provider Identifier
1194755173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MA68507
- Practice address
- 350 Boulevard
Passaic, NJ 07055 - Phone
- (973) 779-7361
- Fax
- (973) 779-7385
- NPI assigned
- Jul 4, 2006
- Last updated
- May 31, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MA68507 | NJ | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MA68507 | NJ |
Addresses
Primary practice location
350 Boulevard
Passaic, NJ 07055
Mailing address
PO Box 1258
Clifton, NJ 07012-0758
Phone (973) 779-7361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7979207 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA68507 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Surgery Center of Clifton, LLC | Past | Accepting new patients | |
| Advanced Spinal Care & Associates, LLC | Past | Accepting new patients | |
| Same Day Procedures, LLC | Past | Accepting new patients | |
| Professional Anesthesiology Services, PA | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Passaic, NJ
- NPI 1548312143
-
- Interventional Pain Medicine Physician
- Clifton, NJ
- NPI 1558675645
-
- Interventional Pain Medicine Physician
- Clifton, NJ
- NPI 1194036111
-
- Ambulatory Surgical Clinic/Center
- Clifton, NJ
- NPI 1487073417
-
- Specialist
- Sparta, NJ
- NPI 1205073814
-
- Multi-Specialty Clinic/Center
- Clifton, NJ
- NPI 1194716142
-
- Pain Medicine (Anesthesiology) Physician
- Passaic, NJ
- NPI 1801832282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1194755173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1258",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070120758",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BOULEVARD",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "07055",
"telephone_number": "973-779-7361",
"fax_number": "973-779-7385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENKATARAMAN",
"first_name": "RAVI",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "MA68507",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "MA68507",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7979207",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.