Active NPI
Ridgewood ENT & Dermatology
- Otolaryngology/Facial Plastic Surgery Physician
- Ridgewood, NJ
National Provider Identifier
1225356512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- RIDGEWOOD ENT & DERMATOLOGY
- Practice address
- 81 N Maple Ave
Ridgewood, NJ 07450-3234 - Phone
- (201) 857-2370
- Fax
- (201) 857-2371
- NPI assigned
- May 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramtin Kassir, M.D., F.A.C.S.
- Title
- Physician
- Phone
- (201) 857-2370
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NJ | ||
| Family Medicine Physician | 207Q00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
81 N Maple Ave
Ridgewood, NJ 07450-3234
Mailing address
81 N Maple Ave
Ridgewood, NJ 07450-3234
Phone (201) 857-2370
National Provider Directory
National Provider DirectoryLocations
81 N Maple Ave
Ridgewood, NJ 07450
Phone (201) 857-2370
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1225356512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503234",
"telephone_number": "201-857-2370",
"fax_number": "201-857-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 N MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503234",
"telephone_number": "201-857-2370",
"fax_number": "201-857-2371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWOOD ENT & DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "KASSIR",
"authorized_official_first_name": "RAMTIN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "201-857-2370",
"authorized_official_credential": "M.D., F.A.C.S."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NJ",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
- Ridgewood Chiropractic
- Ridgewood Corset Shop Inc
- Ridgewood Dental Associates, LLC
- Ridgewood Dental Group LLC
- Ridgewood Dentistry, LLC (Glenn P Godart)
- Ridgewood Eye Care & Wear LLC
- Ridgewood Foot Center
- Ridgewood House of Wellness LLC
- Ridgewood Infectious Disease Associates, PA
- Ridgewood Institute for Integral Psychotherapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.