Rathamani Muthusamy, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01339000 Issued in NJ

Practice address

25 Andrew Ave
Oakland, NJ 07436-3819

Phone

(201) 417-9774

NPI assigned

Jul 31, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519
  Medicare reassignment NPD

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1891524369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ANDREW AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363819",
            "telephone_number": "201-417-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ANDREW AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363819",
            "telephone_number": "201-417-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUSAMY",
        "first_name": "RATHAMANI",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01339000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01339000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Morski, MD
• Morton Recovery & Performance LLC
• Mountainview Medical Group PC
• Anup Muduli, DMD
• Nicholas Mullery, PT, DPT
• Vanessa Narwani, MD, MS
• Inga Nastaskin, LMSW, BCBA
• Areeba Nayyer, MD
• Jolanta Nef, DPT
• Ryan David Norland, DPT, PT

• Gerontology Nurse Practitioner in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.