Individual provider Active NPI

Pradeep Ramakrishnan, D.D.S

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1194878272
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048303 Issued in NY
Practice address
1 Dekalb Ave
Brooklyn, NY 11201-5324
Phone
(718) 237-0222
Fax
(718) 522-1556
NPI assigned
Jan 19, 2007
Last updated
Mar 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 048303 NY Primary

Addresses

Primary practice location

1 Dekalb Ave
Brooklyn, NY 11201-5324

Mailing address

61 Clinton Park Dr
Bergenfield, NJ 07621-2452
Phone (201) 374-1234

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
048303NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albee Dental Care Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332633600000",
    "number": "1194878272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CLINTON PARK DR",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212452",
            "telephone_number": "201-374-1234",
            "fax_number": "201-374-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015324",
            "telephone_number": "718-237-0222",
            "fax_number": "718-522-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNAN",
        "first_name": "PRADEEP",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.