Individual provider Active NPI

Kovil Ramasamy, M.D.,

  • Gastroenterology Physician
  • Bayonne, NJ
National Provider Identifier
1790765576
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA06946500 Issued in NJ
Practice address
534 Avenue E
Suite 1a
Bayonne, NJ 07002-3915
Phone
(201) 858-8444
Fax
(201) 858-4260
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA06946500 NJ Primary
Internal Medicine Physician 207R00000X MA06946500 NJ

Addresses

Primary practice location

534 Avenue E
Suite 1a
Bayonne, NJ 07002-3915

Mailing address

534 Avenue E
Suite 1-a
Bayonne, NJ 07002-3987
Phone (201) 858-8444

Other identifiers 5

IdentifierTypeStateIssuer
7556778OtherNJAETNA
P00130354OtherNJRAILROAD MEDICARE
7977301MedicaidNJ
8171455OtherNJCIGNA
2618801OtherNJUNITED HEALTHCARE

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
I20120201000563 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 1456439512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson Center for Digestive Health, LLCGroup PAC ID 7012275530, 2 clinicians

Practice addresses (Care Compare)

534 Ave E
Suite 1a
Bayonne, NJ 07002-3987
Phone (201) 858-8444

Hospital & facility affiliations

  • Carepoint Health - Bayonne Medical Center Hospital, Bayonne, NJ, CCN 310025
  • Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074
  • Carepoint Health-Hoboken University Medical Center Hospital, Hoboken, NJ, CCN 310040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy172
Upper gastrointestinal (GI) endoscopy for acid reflux166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06946500NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Hudson Center for Digestive Health LLC Gastroenterology CurrentSince Jan 1, 2018 Accepting new patients

Locations

534 Avenue E
Ste 1A
Bayonne, NJ 07002
Phone (201) 720-5535

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

Interoperability endpoints

  • Direct secure messaging: kovil.ramasamy@direct.carepointhealth.org
  • Direct secure messaging: kovil.ramasamy@direct.bayonnemedicalcenter.md

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1790765576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 AVENUE E",
            "address_2": "SUITE 1-A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023987",
            "telephone_number": "201-858-8444",
            "fax_number": "201-858-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 AVENUE E",
            "address_2": "SUITE 1A",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023915",
            "telephone_number": "201-858-8444",
            "fax_number": "201-858-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASAMY",
        "first_name": "KOVIL",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA06946500",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA06946500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7556778",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00130354",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7977301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8171455",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2618801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.