Active NPI
Jonathan Ratzersdorfer, MD
- Obstetrics & Gynecology Physician
- Hackensack, NJ
National Provider Identifier
1780977348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA09621500
- Practice address
- 358 Beech St
Hackensack, NJ 07601 - Phone
- (201) 487-8600
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MT199072 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | 25MA09621500 | NJ | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 277805 | NY |
Addresses
Primary practice location
358 Beech St
Hackensack, NJ 07601
Mailing address
358 Beech St
Hackensack, NJ 07601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277805 | NY | MD | Licensed Practical Nurse |
| 25MA09621500 | NJ | MD | Obstetrics & Gynecology Physician |
| MT199072 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maternal Resources PC | Past | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients |
Interoperability endpoints
- jonathan.ratzersdorfer.1@7791.direct.athenahealth.com
- https://api.platform.athenahealth.com/7791/brand/4/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- Specialist
- Hackensack, NJ
- NPI 1932572922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1780977348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 BEECH ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 BEECH ST",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-487-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATZERSDORFER",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MT199072",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA09621500",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "277805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.