NPIMap

Individual provider Active NPI

Anjali Ratnathicam, DO

  • Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1922257252
Registry record updated Dec 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB08446100 Issued in NJ
Practice address
211 Essex St
Suite 102
Hackensack, NJ 07601-3231
Phone
(201) 487-8882
Fax
(201) 487-0943
NPI assigned
Sep 10, 2008
Last updated
Dec 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MB08446100 NJ Primary
Vascular Surgery Physician 2086S0129X 256266 NY

Addresses

Primary practice location

211 Essex St
Suite 102
Hackensack, NJ 07601-3231

Mailing address

211 Essex St
Suite 102
Hackensack, NJ 07601-3231
Phone (201) 487-8882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218001460 NJ Practitioner - Vascular Surgery 1658565627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Vascular Specialists LLCGroup PAC ID 5597992412, 3 clinicians

Practice addresses (Care Compare)

1225 McBride Ave
Woodland Park, NJ 07424-3813
Phone (973) 837-1018

211 Essex St
Suite 102
Hackensack, NJ 07601-3244
Phone (201) 487-8882

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
79.58
Improvement activities
40
Cost
58.76

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.32 of 100Reported as group
Quality
96.41
Improvement activities
40
Cost
64.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Surgical Specialists, PA CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Vascular Specialists LLC CurrentSince Nov 15, 2013 Accepting new patients
Access Care Physicians of NJ LLC CurrentSince Aug 1, 2014 Accepting new patients
Westchester Endrocrinology PLLC Past Accepting new patients
Sancor Medical Enterprises LLC Vascular Surgery Past Accepting new patients
Westchester Vascular PLLC Past Accepting new patients

Locations

211 Essex St
Ste 102
Hackensack, NJ 07601
Phone (201) 487-8882

1225 McBride Ave
Ste 117
Woodland Park, NJ 07424
Phone (732) 553-9729

Interoperability endpoints

  • Direct secure messaging: anjali.ratnathicam.p16@direct.aac.nextgenshare.com
  • Direct secure messaging: anjali.ratnathicam.p20@direct.aac.nextgenshare.com
  • Direct secure messaging: anjali.ratnathicam.p73@direct.aac.nextgenshare.com
  • Direct secure messaging: aratnathicam191183@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388275200000",
    "number": "1922257252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-487-8882",
            "fax_number": "201-487-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-487-8882",
            "fax_number": "201-487-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATNATHICAM",
        "first_name": "ANJALI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2013-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB08446100",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "256266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.