Active NPI
Ramon Antonio Sandoval, MD
- Internal Medicine Physician
- Paterson, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA058790
- Practice address
- 416 Park Ave
Paterson, NJ 07504-1930 - Phone
- (973) 684-8138
- Fax
- (973) 684-0032
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA058790 | NJ | Primary |
Addresses
Primary practice location
416 Park Ave
Paterson, NJ 07504-1930
Mailing address
416 Park Ave
Paterson, NJ 07504-1930
Phone (973) 684-8138
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2639548 | Other | NJ | OXFORD |
| 5304442 | Other | NJ | AETNA |
| 0989806002 | Other | NJ | AMERIHEALTH |
| 1055488 | Other | NJ | HORIZON NJ |
| 6051308 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Broadway
Suite 201
Elmwood Park, NJ 07407-1842
Phone (973) 684-8138
22 -02 Broadway
Fair Lawn, NJ 07410-3016
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
Hospital & facility affiliations
- Adoration Home Health
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058790 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Internal Medicine | Current | Accepting new patients |
| St Josephs University Medical Center Inc. | Past | Accepting new patients | |
| Eye Care Associates of New Jersey, PA | Past | Accepting new patients |
Locations
1 Broadway
Ste 404
Elmwood Park, NJ 07407
Phone (201) 797-5100
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
30 Montgomery St
Ste 720
Jersey City, NJ 07302
Phone (212) 524-7730
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
Interoperability endpoints
- rsandoval254645@direct.englewoodhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Ophthalmology Physician
- Elmwood Park, NJ
- NPI 1063567790
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- Home Health Agency
- Clifton, NJ
- NPI 1013999382
-
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1316032014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 PARK AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075041930",
"telephone_number": "973-684-8138",
"fax_number": "973-684-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 PARK AVE",
"city": "PATERSON",
"state": "NJ",
"postal_code": "075041930",
"telephone_number": "973-684-8138",
"fax_number": "973-684-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "RAMON",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA058790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2639548",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5304442",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0989806002",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ",
"identifier": "1055488",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6051308",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paterson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.