Individual provider Active NPI

Avi Ramsarup, PA-C

  • Physician Assistant
  • South Ozone Park, NY
National Provider Identifier
1770886905
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9110423 Issued in FL
Practice address
13048 116TH St
South Ozone Park, NY 11420-2320
Phone
(718) 848-0322
NPI assigned
Dec 9, 2010
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9110423 FL Primary

Addresses

Primary practice location

13048 116TH St
South Ozone Park, NY 11420-2320

Mailing address

13048 116TH St
South Ozone Park, NY 11420-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617000373 FL Practitioner - Physician Assistant 6507037819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574

13935 Landstar Blvd
Suite 150
Orlando, FL 32824-5533
Phone (615) 373-7600

16890 US Hwy 441
Mount Dora, FL 32757-6705
Phone (352) 729-2514

410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600

4670 Marigold Ave
Poinciana, FL 34758-4336
Phone (689) 299-0695

5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

7460 University Blvd
Suite 110
Winter Park, FL 32792-8903
Phone (407) 410-8945

92 E Mitchell Hammock Rd
Suite 1006
Oviedo, FL 32765-9756
Phone (615) 373-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heathrow Internal Medicine LLC Past Accepting new patients
Paramount Urgent Care Inc Past Accepting new patients

Organizations & group practices 5

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": "1291852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1770886905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13048 116TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13048 116TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202320",
            "telephone_number": "718-848-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSARUP",
        "first_name": "AVI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9110423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Ozone Park, NY

Sources for this page

Verify at the official NPI Registry.