MARIA RAMIREZ
NPI 1194109819
Nurse Practitioner - Adult Health in Newark, NJ

Active since July 13, 2015PECOS EnrolledAccepts Medicare Assignment
796 MOUNT PROSPECT AVE, NEWARK, NJ 07104(734) 810-5019(973) 755-0767 Get Directions Write a Review

NPPES record last updated: May 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maria Ramirez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA RAMIREZ (NPI 1194109819) is an individual adult health provider in Newark, New Jersey, licensed in New Jersey (26NJ0057410) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194109819
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARIA RAMIREZ
Location Address796 MOUNT PROSPECT AVENewark, NJ 07104-3223
Mailing Address796 Mount Prospect AveNewark, NJ 07104-3223 · (973) 481-0501 · Fax (973) 755-0767
Fax(973) 755-0767
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 13, 2015
Last NPPES UpdateMay 23, 2020
NPPES CertifiedMay 23, 2020
NPI 1194109819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NJ · 26NJ0057410 Licensed in NJ · NP#26NJ00574100
796 MOUNT PROSPECT AVE, Newark, NJ 07104

Other Identifiers 1

Medicaid5558885NJ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maria Ramirez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941587844
PECOS Enrollment IDI20170502001753
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
66 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$2.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
796 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Nurse Practitioner (Psychiatric/Mental Health)
796 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Internal Medicine
796 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Internal Medicine
796 MOUNT PROSPECT AVE
NEWARK, NJ 07104
Nurse Practitioner (Psychiatric/Mental Health)
796 MOUNT PROSPECT AVE
NEWARK, NJ 07104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Ramirez's NPI number?

The NPI number for Maria Ramirez is 1194109819. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Maria Ramirez located?

Maria Ramirez practices at 796 Mount Prospect Ave, Newark, NJ 07104. The listed phone number is (734) 810-5019.

What is Maria Ramirez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Maria Ramirez enrolled in Medicare?

Yes. Maria Ramirez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maria Ramirez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Maria Ramirez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Ramirez was last updated on May 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.