Active NPI
Said Ramadan, APN-C
- Gerontology Nurse Practitioner
- Wall Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NO11774700
- Practice address
- 1849 Carmerville Rd
Wall Township, NJ 07719-9704 - Phone
- (973) 626-0962
- NPI assigned
- Dec 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NO11774700 | NJ | Primary |
Addresses
Primary practice location
1849 Carmerville Rd
Wall Township, NJ 07719-9704
Mailing address
1849 Carmerville Rd
Wall Township, NJ 07719-9704
Phone (973) 626-0962
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
56 Georgetown Rd
Bordentown, NJ 08505-2405
Phone (609) 227-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO11774700 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clare Medical of New Jersey LLC | Gerontology | Current | Accepting new patients |
| Serenity Hospice Care, LLC | Current | Accepting new patients | |
| Serenity Palliative Care Services | Current | Accepting new patients |
Locations
56 Georgetown Rd
Bordentown, NJ 08505
Phone (609) 227-2400
1 Lethbridge Plz
Ste 20
Mahwah, NJ 07430
Phone (201) 684-1616
137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442
Interoperability endpoints
- https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Bordentown, NJ
- NPI 1902621097
-
- Geriatric Medicine (Family Medicine) Physician
- Mount Holly, NJ
- NPI 1255718276
Gerontology
-
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Bordentown, NJ
- NPI 1609428440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1831858810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 CARMERVILLE RD",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199704",
"telephone_number": "973-626-0962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 CARMERVILLE RD",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199704",
"telephone_number": "973-626-0962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMADAN",
"first_name": "SAID",
"name_prefix": "Mr.",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NO11774700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.