Indira Ravishankar, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA3665600 Issued in NJ

Practice address

169 Minnisink Rd
Totowa, NJ 07512-1803

Phone

(973) 256-1700

Fax

(973) 890-4574

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Med Solutions, LLC

  • Pulmonary Disease Physician
  • West Paterson, NJ
  • NPI 1972652634
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1962441873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GEIGER LN",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595639",
            "telephone_number": "732-469-0241",
            "fax_number": "973-890-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MINNISINK RD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075121803",
            "telephone_number": "973-256-1700",
            "fax_number": "973-890-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVISHANKAR",
        "first_name": "INDIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA3665600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING",
            "identifier": "834563B1J",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4499701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William F Puglisi, DC
• QD 775 Union Blvd., LLC
• Alexa Raba, DPT
• Rasraj Rana, O.D.
• Salvatore Rappa, RPH
• Toni Anne Raymond, DMD
• Rejuvenation Center for Mind and Body
• Marlene E Reyes, DOULA
• Melanie Elisie Reyes, AGACNP
• Kristin Ribe

• General Practice Physician in Totowa, NJ
• Providers in Totowa, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.