Individual provider Active NPI

Ravi Piryani, DO

  • Pediatrics Physician
  • Newark, NJ
National Provider Identifier
1851829295
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB11982700 Issued in NJ
Practice address
201 Lyons Ave Ste L5
Newark, NJ 07112-2027
Phone
(973) 926-3568
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OT017988 PA
Pediatrics Physician 208000000X 25MB11982700 NJ Primary

Addresses

Primary practice location

201 Lyons Ave Ste L5
Newark, NJ 07112-2027

Mailing address

379 Campus Dr FL 4
Somerset, NJ 08873-1161

Other practice location 1

1 Medical Center Blvd
Crozer Pediatrics, Pob 1, Suite 205
Upland, PA 19013
Phone (610) 619-7410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240127000660 NJ Practitioner - Pediatric Medicine 2264885011 Reassigns benefits to 1 organization
I20251008002771 NY Practitioner - Pediatric Medicine 2264885011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

245 Old Country Rd
Melville, NY 11747-2726

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11982700NJMDPediatrics Physician
OT017988PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Pediatric Services, P.C. Pediatrics CurrentSince Jul 21, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 20, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Dec 20, 2023 Accepting new patients
Newark Beth Israel Medical Center Inc Past Accepting new patients

Locations

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

201 Lyons Ave
Ste L5
Newark, NJ 07112
Phone (973) 926-3500

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

Organizations & group practices 4

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1851829295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 CAMPUS DR FL 4",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE STE L5",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-3568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "CROZER PEDIATRICS, POB 1, SUITE 205",
            "address_purpose": "LOCATION",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "country_code": "US",
            "telephone_number": "610-619-7410",
            "fax_number": "610-876-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRYANI",
        "first_name": "RAVI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OT017988",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11982700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.