Individual provider Active NPI

Leonor Vivas Ramos, MD

  • Family Medicine Physician
  • Jersey, NJ
National Provider Identifier
1760440986
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA69782 Issued in NJ
Practice address
324 Palisade Ave
Jersey, NJ 07306
Phone
(201) 459-8888
Fax
(201) 459-8872
NPI assigned
May 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA69782 NJ Primary

Addresses

Primary practice location

324 Palisade Ave
Jersey, NJ 07306

Mailing address

15 MSGR Wojtycha Dr
Jersey City, NJ 07305-4891
Phone (201) 451-4308

Other identifiers 1

IdentifierTypeStateIssuer
8044309MedicaidNJ

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
I20240708000093 NJ Practitioner - Family Practice 6608092317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69782NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Jun 1, 2024 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Jun 1, 2024 Accepting new patients
Riverside Medical Group Past Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

324 Palisade Ave
Jersey City, NJ 07307
Phone (201) 386-1400

46 Essex St
Jersey City, NJ 07302
Phone (201) 268-5485

1 Maywood Ave
Maywood, NJ 07607
Phone (201) 464-4772

1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233

Organizations & group practices 6

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760440986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MSGR WOJTYCHA DR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054891",
            "telephone_number": "201-451-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PALISADE AVE",
            "city": "JERSEY",
            "state": "NJ",
            "postal_code": "07306",
            "telephone_number": "201-459-8888",
            "fax_number": "201-459-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "LEONOR",
        "middle_name": "VIVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA69782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8044309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey, NJ

Sources for this page

Verify at the official NPI Registry.