INDIRA RAVISHANKAR (NPI# 1962441873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441873 |
| Entity Type | Individual |
| Full Name | INDIRA RAVISHANKAR |
| Credential | M.D. |
| Practice Address |
169 Minnisink Rd Totowa NJ 07512-1803 |
| Mailing Address |
5 Geiger Ln Warren NJ 07059-5639 |
| Practice Telephone | 9732561700 |
| Practice Fax Number | 9738904574 |
| Mailing Telephone | 7324690241 |
| Mailing Fax Number | 9738904574 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MA3665600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE BILLING | 834563B1J | 01 |
| NJ | 4499701 | 05 |
| Street Address |
169 MINNISINK RD |
| City | TOTOWA |
| State | NJ |
| Zip Code | 07512-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922046903 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-03 |
| 1073679510 | Ethel D Baruiz | Pediatrics | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-12-29 |
| 1306911763 | Meera Venkataraman Prakash | Psychiatry & Neurology | 169 Minnisink Rd, North Jersey Developmental, Totowa, NJ 07512-1803 | 2006-11-21 |
| 1356384341 | Roman Chrucky | Family Medicine | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396265682 | Joseph Choi | Student in an Organized Health Care Education/Training Program | 136 Independence Trail, Totowa, NJ 07512 | 2017-06-27 |
| 1508228537 | Psycho-educational Associates | Community/Behavioral Health | 999 Riverview Dr., Suite 201, Totowa, NJ 07512 | 2016-03-29 |
| 1013381086 | De La Torre Chiropractic Center, LLC | Chiropractor | 159 Union Blvd, Unit B, Totowa, NJ 07512 | 2015-11-13 |
| 1396123527 | Pratiksha Pandit Chesney | Physical Therapist | 10 Crews St., Totowa, NJ 07512 | 2015-05-07 |
| 1356735666 | Ne Health Management LLC | Clinic/Center | 195 Us Hwy 46 West Suite 4, Totowa, NJ 07512 | 2015-03-25 |
| 1477989218 | Medical Nutrition of Nj, LLC | Nutritionist | 137 Union Blvd, Totowa, NJ 07512 | 2013-09-25 |
| 1245503648 | Biologictx LLC | Pharmacy | 40d Commerce Way, Totowa, NJ 07512 | 2012-02-15 |
| 1982987293 | Jorge De La Torre Jr. | Chiropractor | 442 Union Blvd, Store Front, Totowa, NJ 07512 | 2011-09-22 |
| 1851699540 | Leilani Irisari Toomey | Physical Therapist | 140 Sheperds Ln#1, Totowa, NJ 07512 | 2011-03-04 |
| 1972803526 | Maria E Tapia | Social Worker | 555 Preakness Ave., Totowa, NJ 07512 | 2010-10-29 |
| Find all providers in zip 07512 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225225394 | Aim Medical LLC | General Practice | 69 Lafayette Cir, Totowa, NJ 07512-2196 | 2007-10-02 |
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| 1114558780 | Greenbook Health & Wellness | General Practice | 169 Ivy St, Newark, NJ 07106-2843 | 2020-01-31 |
| 1932742533 | Alexandra Grace Cantelmo | General Practice | 170 Marketplace Blvd, Hamilton, NJ 08691-2103 | 2019-10-26 |
| 1477196707 | Dragonfly Health | General Practice | 151 Fries Mill Rd Ste 104, Turnersville, NJ 08012-2056 | 2019-10-18 |
| 1639711500 | Health Focus Agency | General Practice | 201 Laurel Creek Blvd, Moorestown, NJ 08057-3965 | 2019-10-11 |
| Find all providers with the same taxonomy | ||||
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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.