Gangaram Ragi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA05675000 Issued in NJ

Practice address

870 Palisade Ave
Suite 302
Teaneck, NJ 07666-3419

Phone

(201) 836-9696

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer and Mohs Surgery LLCGroup PAC ID 6406281443, 2 clinicians

Gangaram RagiGroup PAC ID 6901064757, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gangaram Ragi

  dba Advanced Laser & Skin Cancer Ctr LLC

  • Dermatology Physician
  • Teaneck, NJ
  • NPI 1124138995
  Medicare reassignment Care Compare group NPD Authorized official
• Skin Cancer & Mohs Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Saddle River, NJ
  • NPI 1588205991
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1801906680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 302",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PALISADE AVE",
            "address_2": "SUITE 302",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663419",
            "telephone_number": "201-836-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGI",
        "first_name": "GANGARAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA05675000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asher Don Rabinowitz, M.D.
• Wilfrid Noel Raby, PH.D., M.D.
• Megan M Racz, RN, BS
• Radiation Oncology Partners PC
• David Radvinsky, M.D.
• Sarah Sophia Rahme
• Ranjit C Rajaratnam, MD
• Anthony Joseph Ram, D.C.
• Jose M Ramirez, CNIM
• Elena Rampe, APN

• Dermatology Physician in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.