Active NPI
Preethi Venugopal Ramaswamy, M.D
- Dermatology Physician
- Rutherford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA09032700
- Practice address
- 201 New Jersey 17
11TH Floor
Rutherford, NJ 07070 - Phone
- (201) 623-9438
- Fax
- (201) 623-2999
- NPI assigned
- Mar 27, 2009
- Last updated
- Nov 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA09032700 | NJ | Primary |
Addresses
Primary practice location
201 New Jersey 17
11TH Floor
Rutherford, NJ 07070
Mailing address
201 New Jersey 17
11TH Floor
Rutherford, NJ 07070
Phone (201) 623-9438
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Geisel School of Medicine at Dartmouth, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 -01 Broadway
Suite 38
Fair Lawn, NJ 07410-6026
Phone (201) 623-9438
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 380 |
| Skin biopsy | 335 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ovadia Plastic Surgery LLC | Current | Accepting new patients | |
| Garden State Dermatology LLC | Current | Accepting new patients |
Locations
15-01 Broadway
Ste 38
Fair Lawn, NJ 07410
Phone (201) 623-9438
90 Millburn Ave
Ste 206
Millburn, NJ 07041
Phone (201) 310-3665
150 River Rd
Ste A2
Montville, NJ 07045
Phone (201) 623-9438
201 State Rt 17
Fl 11
Rutherford, NJ 07070
Phone (201) 500-4958
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFIHCA
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.
-
- Medical Specialty Clinic/Center
- Rutherford, NJ
- NPI 1811305444
-
- Plastic Surgery Physician
- Millburn, NJ
- NPI 1699638502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415923200000",
"number": "1750523379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NEW JERSEY 17",
"address_2": "11TH FLOOR",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-623-9438",
"fax_number": "201-623-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NEW JERSEY 17",
"address_2": "11TH FLOOR",
"city": "RUTHERFORD",
"state": "NJ",
"postal_code": "07070",
"telephone_number": "201-623-9438",
"fax_number": "201-623-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMASWAMY",
"first_name": "PREETHI",
"middle_name": "VENUGOPAL",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2014-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA09032700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.