Individual provider Active NPI

Naipaul Rambaran, MD

  • Family Medicine Physician
  • Cedar Grove, NJ
National Provider Identifier
1376508036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA57022 Issued in NJ
Practice address
204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone
(973) 571-2833
Fax
(973) 571-2995
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA57022 NJ Primary

Addresses

Primary practice location

204 Grove Ave
Cedar Grove, NJ 07009-1436

Mailing address

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000692 NJ Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Addiction Medicine 0840226163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Pediatric Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of EssexGroup PAC ID 7214837061, 11 clinicians

Practice addresses (Care Compare)

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA57022NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Essex CurrentSince Aug 6, 2001 Accepting new patients
County of Essex Current Accepting new patients
County of Essex CurrentSince Aug 6, 2001 Accepting new patients
County of Essex Current Accepting new patients
St. Joseph'S Healthcare, Inc. Past Accepting new patients

Locations

204 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-2800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376508036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2833",
            "fax_number": "973-571-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GROVE AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091436",
            "telephone_number": "973-571-2833",
            "fax_number": "973-571-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBARAN",
        "first_name": "NAIPAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA57022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.