Individual provider Active NPI

Nisha Ramesh, DDS

  • Dentist
  • Annandale, NJ
National Provider Identifier
1831160043
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02357600 Issued in NJ
Practice address
32 Greenbriar LN
Annandale, NJ 08801-1617
Phone
(614) 738-1907
NPI assigned
Jan 27, 2006
Last updated
Jan 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02357600 NJ Primary
Dentist 122300000X 057098-1 NY
General Practice Dentistry 1223G0001X 21928 OH

Addresses

Primary practice location

32 Greenbriar LN
Annandale, NJ 08801-1617

Mailing address

32 Greenbriar LN
Annandale, NJ 08801-1617

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412002094 NJ Order and Referring Only - DentistPractitioner - General PracticePractitioner - Dentist 8729386560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057098-1NYMDDentist
21928OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1831160043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GREENBRIAR LN",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088011617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GREENBRIAR LN",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088011617",
            "telephone_number": "614-738-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMESH",
        "first_name": "NISHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02357600",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057098-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, NJ

Sources for this page

Verify at the official NPI Registry.