Active NPI
Ram V.Rayasam.M.D.P.a
- Clinic/Center
- Phillipsburg, NJ
National Provider Identifier
1295724938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MA38051
- Legal business name
- RAM V.RAYASAM.M.D.P.A
- Practice address
- 207 S 2ND St
Morrispark
Phillipsburg, NJ 08865-1807 - Phone
- (908) 454-2279
- Fax
- (908) 454-5404
- NPI assigned
- Oct 16, 2005
- 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
- Dr. Ramakumar Venkata Rayasam, M.D.,
- Title
- President
- Phone
- (908) 454-2279
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MA38051 | NJ | Primary |
Addresses
Primary practice location
207 S 2ND St
Morrispark
Phillipsburg, NJ 08865-1807
Mailing address
207 S 2ND St
Morrispark
Phillipsburg, NJ 08865-1807
Phone (908) 454-2279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 S 2nd St
Phillipsburg, NJ 08865
Phone (908) 454-2279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Phillipsburg, NJ
- NPI 1922097666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295724938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S 2ND ST",
"address_2": "MORRISPARK",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651807",
"telephone_number": "908-454-2279",
"fax_number": "908-454-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S 2ND ST",
"address_2": "MORRISPARK",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088651807",
"telephone_number": "908-454-2279",
"fax_number": "908-454-5404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAM V.RAYASAM.M.D.P.A",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RAYASAM",
"authorized_official_first_name": "RAMAKUMAR",
"authorized_official_middle_name": "VENKATA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "908-454-2279",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "MA38051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.