Active NPI
Ramya Kunam, DDS
- General Practice Dentistry
- Kendall Park, NJ
National Provider Identifier
1902035306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02668700
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS037970 | PA | |
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22DI02668700 | Other | NJ | DENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02668700 | NJ | MD | General Practice Dentistry |
| DS037970 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RP Dental | General Practice | Current | 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.
-
- General Practice Dentistry
- Kendall Park, NJ
- NPI 1720868011
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.