| Ms Radha Venkataramanan, NP-C | |
|
324 Saint Mary St, Hillsdale, NJ 07642-1649 | |
| (201) 358-0001 | |
| Not Available |
| Full Name | Ms Radha Venkataramanan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 324 Saint Mary St, Hillsdale, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740620145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 26NJ00440100 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00440100 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Azz Medical Associates Pc | 6002132685 | 56 |
| Entity Name | Azz Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699704809 PECOS PAC ID: 6002132685 Enrollment ID: O20150225001108 |
| Entity Name | Act On Total Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952992455 PECOS PAC ID: 6608284674 Enrollment ID: O20210413001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Radha Venkataramanan, NP-C 465 Mount Prospect Ave, Newark, NJ 07104-2907 Ph: (973) 733-6400 | Ms Radha Venkataramanan, NP-C 324 Saint Mary St, Hillsdale, NJ 07642-1649 Ph: (201) 358-0001 |
Christine Lisa, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 297 Hillsdale Ave, Hillsdale, NJ 07642 Phone: 201-880-7440 Fax: 201-987-7558 | |
Susan Austin, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 71 Magnolia Ave, Hillsdale, NJ 07642 Phone: 201-805-7009 | |
Tara Byrne, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Palm St, Hillsdale, NJ 07642 Phone: 845-548-9063 |