Organization Active NPI

Chidambaram Raman MD LLC

  • Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1750517801
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CHIDAMBARAM RAMAN MD LLC
Practice address
1200 E Ridgewood Ave
West Wing, 2ND Floor
Ridgewood, NJ 07450-3957
Phone
(201) 444-4466
Fax
(201) 444-6672
NPI assigned
Jun 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Dr. Chidambaram Raman, MDNPI 1063408789
Title
Sole Owner
Phone
(201) 444-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave
West Wing, 2ND Floor
Ridgewood, NJ 07450-3957

Mailing address

PO Box 283
Ridgewood, NJ 07451-0283
Phone (201) 444-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091013000111 NJ Part B Supplier - Clinic/Group Practice 0749326304 Receives reassigned benefits from 2 practitioners
Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory

Locations

1200 E Ridgewood Ave
Ste 203
Ridgewood, NJ 07450
Phone (201) 444-4466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1750517801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 283",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074510283",
            "telephone_number": "201-444-4466",
            "fax_number": "201-444-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "WEST WING, 2ND FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-444-4466",
            "fax_number": "201-444-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIDAMBARAM RAMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "RAMAN",
        "authorized_official_first_name": "CHIDAMBARAM",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "201-444-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.