Active NPI
John Ramirez, MD
- Pediatric Adolescent Medicine Physician
- North Haven, CT
National Provider Identifier
1659781383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 56496
- Practice address
- 451 State St
North Haven, CT 06473-3070 - Phone
- (203) 248-8888
- Fax
- (203) 248-8889
- NPI assigned
- May 2, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 56496 | CT | Primary |
Addresses
Primary practice location
451 State St
North Haven, CT 06473-3070
Mailing address
451 State Street
North Haven, CT 06473-5608
Phone (310) 382-0072
Other practice location 1
129 York St
Apt 5K
New Haven, CT 06511-5608
Phone (310) 382-0072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160120000523 | CT | Order and Referring Only - Pediatric Medicine | 2769785021 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56496 | CT | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Pediatrics | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- North Haven, CT
- NPI 1871731927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659781383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 STATE STREET",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064735608",
"telephone_number": "310-382-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 STATE ST",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064733070",
"telephone_number": "203-248-8888",
"fax_number": "203-248-8889"
}
],
"practiceLocations": [
{
"address_1": "129 York St",
"address_2": "Apt 5K",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115608",
"country_code": "US",
"telephone_number": "310-382-0072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMIREZ",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CT",
"license": "56496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.