Active NPI
Diana Ramanujam
- Surgical Physician Assistant
- Mineola, NY
National Provider Identifier
1194945113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 009654-1
- Practice address
- 259 1St St
Winthrop University Hospital TCV
Mineola, NY 11501-3957 - Phone
- (516) 663-2384
- Fax
- (516) 663-8288
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 009654-1 | NY | Primary |
Addresses
Primary practice location
259 1St St
Winthrop University Hospital TCV
Mineola, NY 11501-3957
Mailing address
259 1St St
Winthrop University Hospital TCV
Mineola, NY 11501-3957
Phone (516) 663-2384
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dramanujam284188@nyumc.direct-ci.com |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009654-1 | NY | MD | Pediatric Physical Therapist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1194945113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 1ST ST",
"address_2": "WINTHROP UNIVERSITY HOSPITAL TCV",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2384",
"fax_number": "516-663-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 1ST ST",
"address_2": "WINTHROP UNIVERSITY HOSPITAL TCV",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115013957",
"telephone_number": "516-663-2384",
"fax_number": "516-663-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMANUJAM",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "009654-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dramanujam284188@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "259 1st St",
"address_2": "Winthrop University Hospital TCV",
"city": "Mineola",
"state": "NY",
"country_code": "US",
"postal_code": "115013957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.