Individual provider Active NPI

Cadesa Deborah Ramharrack, MD

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1831445303
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
290273 Issued in NY
Practice address
5205 Church Ave FL 2
Brooklyn, NY 11203-3513
Phone
(718) 240-8500
Fax
(347) 350-5491
NPI assigned
Aug 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 290273 NY Primary

Addresses

Primary practice location

5205 Church Ave FL 2
Brooklyn, NY 11203-3513

Mailing address

1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 240-5000

Other practice location 1

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7575

Other practice location 2

546 Eastern Parkway
Brooklyn, NY 11225-1604
Phone (718) 604-4800

Other practice location 3

195 Montague St
Brooklyn, NY 11201-3628
Phone (718) 422-8000

Other identifiers 1

IdentifierTypeStateIssuer
552489694OtherNYASO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171025002094 NY Practitioner - Gynecological Oncology 3678849304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
State University of Ny Upstate Medical University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 15, 2017 Accepting new patients
Brookdale Hospital Medical Center CurrentSince May 6, 2022 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince May 6, 2022 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

5205 Church Ave
Fl 2
Brooklyn, NY 11203
Phone (718) 485-4111

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

55 Water St
Fl 2
New York, NY 10041

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 7

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1831445303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5000",
            "fax_number": "347-350-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CHURCH AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033513",
            "telephone_number": "718-240-8500",
            "fax_number": "347-350-5491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101687",
            "country_code": "US",
            "telephone_number": "315-470-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "546 Eastern Parkway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112251604",
            "country_code": "US",
            "telephone_number": "718-604-4800",
            "fax_number": "718-604-4828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Montague St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013628",
            "country_code": "US",
            "telephone_number": "718-422-8000",
            "fax_number": "718-422-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMHARRACK",
        "first_name": "CADESA",
        "middle_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "290273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASO",
            "identifier": "552489694",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.