DR. RAVI MEDICAL PC (NPI# 1619391604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619391604 |
| Entity Type | Organization |
| Organization Name | DR. RAVI MEDICAL PC |
| Practice Address |
6852 Fresh Pond Rd Ridgewood NY 11385-5230 |
| Practice Telephone | 7184976070 |
| Practice Fax Number | 7184973126 |
| Mailing Telephone | 7184976070 |
| Mailing Fax Number | 7184973126 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | DR. BALA RAVI (OWNER) |
| Authorized Official Telephone | 7184976070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
6852 FRESH POND RD |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043310170 | Benedicto, Figueroa Medical Group PC | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Ridgewood, NY 11385-5230 | 2006-09-25 |
| 1801209382 | The Augury for Women's Health Medical Pllc | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2014-06-03 |
| 1790922136 | Omrou Alchyib | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235579129 | Elizabeth Klimowicz-mallon | Obstetrics & Gynecology | 1124 E Ridgewood Ave Ste 105, Ridgewood, NJ 07450-3915 | 2013-06-25 |
| 1225286297 | Charles Milne Scielzo | Obstetrics & Gynecology | 354 Grandview Cir, Ridgewood, NJ 07450-4916 | 2008-09-03 |
| 1083785083 | Intercounty Obgyn | Obstetrics & Gynecology | 6608 Fresh Pond Road, Ridgewood, NY 11385 | 2006-11-13 |
| 1790863165 | Milagros Benedicto | Obstetrics & Gynecology | 5810 Catalpa Ave, Ridgewood, NY 11385-5032 | 2006-11-01 |
| 1043310170 | Benedicto, Figueroa Medical Group PC | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Ridgewood, NY 11385-5230 | 2006-09-25 |
| 1801209382 | The Augury for Women's Health Medical Pllc | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2014-06-03 |
| 1730465717 | Cristina M. Maniu | Obstetrics & Gynecology | 550 N Maple Ave, Ridgewood, NJ 07450-1621 | 2011-10-23 |
| 1558680561 | Eugenia C. Kuo | Obstetrics & Gynecology | 1124 E Ridgewood Ave, Ridgewood, NJ 07450-3915 | 2010-06-01 |
| 1770726564 | Shaghayegh Moghaddam Denoble | Obstetrics & Gynecology | 20 Wilsey Sq, Suite C, Ridgewood, NJ 07450-3793 | 2009-04-09 |
| 1790922136 | Omrou Alchyib | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2009-01-07 |
| Find all providers in RIDGEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.