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RAMAZI OTAROVICH DATIASHVILI
NPI 1952466518
Surgery - Plastic and Reconstructive Surgery in Newark, NJ

Active since December 26, 2006PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST, DOC 7200, NEWARK, NJ 07103(973) 972-1129(973) 972-2407 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ramazi Otarovich Datiashvili NPPES

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

RAMAZI OTAROVICH DATIASHVILI (NPI 1952466518) is an individual plastic and reconstructive surgery provider in Newark, New Jersey, licensed in New Jersey (25MA06921300) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with The University Hospital, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1952466518
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameRAMAZI OTAROVICH DATIASHVILI
Location Address90 BERGEN ST, DOC 7200Newark, NJ 07103-2425
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-1129
Fax(973) 972-2407
Sole ProprietorNo
Medical School CMSOtherGraduated 1972
Enumeration DateDecember 26, 2006
Last NPPES UpdateAugust 21, 2009
✔ NPI 1952466518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NJ · 25MA06921300
Definition
A surgeon who specializes in plastic and reconstructive surgery.
90 BERGEN ST, Newark, NJ 07103
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINH39160NJ
Medicaid8516006NJ
Medicare PIN048599NJ

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

Ramazi Otarovich Datiashvili 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 ID4880610757
PECOS Enrollment IDI20051020000066
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 20

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

MS. YU-CHI JEN
General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Essex County (973) 972-2800
UNIVERSITY SURGICAL ASSOCIATES (OM)
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2400
MARC H. LAVIETES M.D.
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Essex County (973) 972-2500
JOSEPH V SCHWAB MD
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Essex County (973) 972-2100
DR. VISHNU CHOUDHARY POTINI MD
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Essex County (973) 972-2150
DR. AREVIK ABRAMYAN MD, PHD
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2323
HANNAAN SHAFIQ CHOUDHRY
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2548
PATRICK MAHONY FOYE M.D.
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103
Essex County (973) 972-2802

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 Ramazi Datiashvili's NPI number?

The NPI number for Ramazi Datiashvili is 1952466518. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Ramazi Datiashvili located?

Ramazi Datiashvili practices at 90 Bergen St Doc 7200, Newark, NJ 07103. The listed phone number is (973) 972-1129.

What is Ramazi Datiashvili's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Ramazi Datiashvili enrolled in Medicare?

Yes. Ramazi Datiashvili 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.

Is Ramazi Datiashvili affiliated with any hospitals?

According to CMS data, Ramazi Datiashvili is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Ramazi Datiashvili was last updated on August 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.