Physician Compare National (NPI:1619290384)

HEALTHCARE PROVIDER: RAMDAS PRABHU D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619290384
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486823713
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110803000172
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRABHU
	Individual professional last name
Provider First Name	RAMDAS
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RADIOLOGY AFFILIATES OF CENTRAL NEW JERSEY PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1759277239
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	73
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3120 PRINCETON PIKE
	Group Practice or individual's line 1 address
City	LAWRENCEVILLE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	086482325
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6095858800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310092
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CAPITAL HEALTH REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	310044
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CAPITAL HEALTH MEDICAL CENTER - HOPEWELL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y