Individual provider Active NPI

Said Ramadan, APN-C

  • Gerontology Nurse Practitioner
  • Wall Township, NJ
National Provider Identifier
1831858810
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NO11774700 Issued in NJ
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

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220701000067 NJ Practitioner - Nurse Practitioner 2860872249 Reassigns benefits to 3 organizations

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
Serenity Hospice Care, LLCGroup PAC ID 5092988089, 10 clinicians

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

LicenseStateTypeSpecialty
26NO11774700NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clare Medical of New Jersey LLC Gerontology CurrentSince Apr 1, 2022 Accepting new patients
Serenity Hospice Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Serenity Palliative Care Services CurrentSince Aug 30, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.