Individual provider Active NPI

Preethi Venugopal Ramaswamy, M.D

  • Dermatology Physician
  • Rutherford, NJ
National Provider Identifier
1750523379
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA09032700 Issued in NJ
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000682 NJ Practitioner - Dermatology 3173788502 Reassigns benefits to 1 organization

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
Garden State Dermatology LLCGroup PAC ID 8325363187, 2 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions380
Skin biopsy335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ovadia Plastic Surgery LLC CurrentSince Dec 10, 2025 Accepting new patients
Garden State Dermatology LLC CurrentSince Nov 3, 2014 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.