Individual provider Active NPI

Nor Hasiah Ramli, MD

  • Pediatrics Physician
  • Massena, NY
National Provider Identifier
1891724043
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
262750 Issued in NY
Practice address
17 Hospital Dr
Massena, NY 13662-1039
Phone
(315) 769-4700
Fax
(315) 769-4720
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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 49359 WI
Pediatrics Physician 208000000X 262750 NY Primary

Addresses

Primary practice location

17 Hospital Dr
Massena, NY 13662-1039

Mailing address

1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200

Other identifiers 1

IdentifierTypeStateIssuer
03431376MedicaidNY

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
I20111130000716 NY Practitioner - Pediatric Medicine 1658374335 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262750NYMDPediatrics Physician
49359WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massena Hospital, Inc CurrentSince Jan 5, 2020 Accepting new patients

Locations

1 Hospital Dr
#H
Massena, NY 13662

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

17 Hospital Dr
Massena, NY 13662
Phone (315) 265-3458

Interoperability endpoints

  • Direct secure messaging: nramli@hiemail.healtheconnections.org
  • Direct secure messaging: nramli338583@direct.rochesterregional.org

Organizations & group practices 2

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1891724043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621056",
            "telephone_number": "315-769-4200",
            "fax_number": "315-769-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HOSPITAL DR",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621039",
            "telephone_number": "315-769-4700",
            "fax_number": "315-769-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMLI",
        "first_name": "NOR HASIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "49359",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "262750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03431376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.