Active NPI
Ram Prasad Ravi, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Bronx, NY
National Provider Identifier
1699976936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 265116
- Practice address
- 1963 Grand Concourse FL 2
Bronx, NY 10453-4995 - Phone
- (319) 335-4416
- Fax
- (319) 335-4225
- NPI assigned
- May 31, 2007
- Last updated
- Sep 6, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 265116 | NY | Primary |
Addresses
Primary practice location
1963 Grand Concourse FL 2
Bronx, NY 10453-4995
Mailing address
71 Broadway Apt 2G
New York, NY 10006-2603
Phone (617) 990-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 265116 | NY | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Stonington Health Center, Inc | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Pawtucket, RI
- NPI 1548696941
-
- General Practice Physician
- North Stonington, CT
- NPI 1396050209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1699976936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 BROADWAY APT 2G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100062603",
"telephone_number": "617-990-4744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1963 GRAND CONCOURSE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104534995",
"telephone_number": "319-335-4416",
"fax_number": "319-335-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "RAM",
"middle_name": "PRASAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NY",
"license": "265116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.