Active NPI
Maya Ramachandran
- Dentist
- Philadelphia, PA
National Provider Identifier
1750024642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043884
- Practice address
- 240 S 40TH St
Philadelphia, PA 19104-6030 - Phone
- (215) 898-8965
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI03057000 | NJ | |
| Dentist | 122300000X | DS043884 | PA | Primary |
Addresses
Primary practice location
240 S 40TH St
Philadelphia, PA 19104-6030
Mailing address
10 Hemlock CT
Manalapan, NJ 07726-4254
Phone (732) 299-4889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 27, 2025 through May 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03057000 | NJ | MD | Dentist |
| DS043884 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1750024642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HEMLOCK CT",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077264254",
"telephone_number": "732-299-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S 40TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191046030",
"telephone_number": "215-898-8965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMACHANDRAN",
"first_name": "MAYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03057000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.