Individual provider Active NPI

Ramya Kunam, DDS

  • General Practice Dentistry
  • Kendall Park, NJ
National Provider Identifier
1902035306
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02668700 Issued in NJ
Practice address
3086 State Route 27 Ste 5
Kendall Park, NJ 08824-1658
Phone
(732) 422-1900
NPI assigned
Jul 7, 2009
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037970 PA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02668700 NJ Primary

Addresses

Primary practice location

3086 State Route 27 Ste 5
Kendall Park, NJ 08824-1658

Mailing address

3086 State Route 27 Ste 5
Kendall Park, NJ 08824-1658
Phone (732) 422-1900

Other identifiers 1

IdentifierTypeStateIssuer
22DI02668700OtherNJDENTAL LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02668700NJMDGeneral Practice Dentistry
DS037970PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
RP Dental General Practice CurrentSince Oct 8, 2023 Accepting new patients

Locations

3086 State Route 27
Ste 5
Kendall Park, NJ 08824
Phone (732) 422-1900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1902035306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27 STE 5",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "732-422-1900",
            "fax_number": "732-422-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 STATE ROUTE 27 STE 5",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241658",
            "telephone_number": "732-422-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNAM",
        "first_name": "RAMYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037970",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02668700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENCE",
            "identifier": "22DI02668700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.