Active NPI
Nanjappa Ravi, M.D.
- Internal Medicine Physician
- Westwood, NJ
National Provider Identifier
1700800083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA03805000
- Practice address
- 260 Old Hook Rd.
Suite 203
Westwood, NJ 07675-3123 - Phone
- (201) 666-7200
- Fax
- (201) 666-5612
- NPI assigned
- Jul 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA03805000 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA03805000 | NJ | Primary |
Addresses
Primary practice location
260 Old Hook Rd.
Suite 203
Westwood, NJ 07675-3123
Mailing address
PO Box 1097
Paramus, NJ 07653-1097
Phone (201) 967-8425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0324205 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041110001025 | NJ | Practitioner - Internal Medicine | 0143283051 | Practice locations: Westwood, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
260 Old Hook Rd
Suite 203
Westwood, NJ 07675-3123
Phone (201) 666-7200
Hospital & facility affiliations
- Amedisys Home Health
- Valley Home Care Inc.
- Hackensack Meridian Health Pascack Valley Medical
- Valley Hospital
- Englewood Hospital and Medical Center
- Hackensack University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03805000 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Sovereign Medical Group LLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- nravi190155@ahs.direct-ci.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- Westwood, NJ
- NPI 1205176062
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
-
- Home Health Agency
- Paramus, NJ
- NPI 1174588925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1700800083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1097",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076531097",
"telephone_number": "201-967-8425",
"fax_number": "201-967-8443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 OLD HOOK RD.",
"address_2": "SUITE 203",
"city": "WESTWOOD",
"state": "NJ",
"postal_code": "076753123",
"telephone_number": "201-666-7200",
"fax_number": "201-666-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVI",
"first_name": "NANJAPPA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA03805000",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA03805000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0324205",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.
- 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.