Great Hope Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GREAT HOPE MEDICAL GROUP INC

Practice address

690 Avenue C
Bayonne, NJ 07002

Phone

(201) 339-1119

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Alma Ramos

Title

Manager

Phone

(201) 284-1696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Abraham

  • Family Medicine Physician
  • Bayonne, NJ
  • NPI 1538597166
  Medicare reassignment NPD

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1245705474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 AVENUE C",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-339-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HOPE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-284-1696"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Gonzalez, PSYD
• Nikita Goradia, DMD
• Jessica Grabher
• Dennis Grau, LPC
• Kelly A. Gray, PT
• Great Shepherd Behavorial Health Center
• Jennifer Grilli, M.S., OTR
• Prachi Grover
• Ana Raquel Grullon, LCSW
• Melissa Grywalski

• Family Medicine Physician in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.