Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deepak Ramanathan, MD

Individual provider General Practice Physician · NPI 1306261086

Deepak Ramanathan, MD is an Internal Medicine in Jamaica, New York. Qualified in 2004, 22 years ago. Practices with Divinity Medical Services PLLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14839 Hillside Ave
Jamaica, NY 11435-3330
Phone: (929) 777-2234
Fax: (718) 744-9728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 273668-1 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 273668-1 (NY)

Record details

NPI number1306261086
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 4, 2014
Last updated in NPPESFebruary 19, 2019
Mailing address14839 Hillside Ave, Jamaica, NY 11435-3330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Divinity Medical Services Pllc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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