Doctor profile · Federal record
Dr. Ramazi Datiashvili
Plastic and Reconstructive Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Newark, NJ
- NPI 1952466518
- Accepts Medicare
- MIPS 63.5 / 100 · 2023
- 54 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
90 Bergen St, Doc 7200
Newark, NJ 071032425
(973) 972-1129
fax (973) 972-2407 - Mailing address
-
30 Bergen St, Admc 12 1205
Newark, NJ 071073000
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- August 21, 2009
- Year of graduation
- 1972 — 54 yrs since
- Specialty taxonomy
- 2086S0122X — NUCC code
- State license (1)
- New Jersey #25MA06921300
- Medicaid
- NJ #8516006
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952466518. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tela Bio, INC. | 1 | $20.16 |
By nature of payment
Frequently asked questions
What is Dr. Ramazi Datiashvili's medical specialty?
Dr. Ramazi Datiashvili practices Plastic and Reconstructive Surgery Physician in Newark, NJ.
Where does Dr. Ramazi Datiashvili practice?
Dr. Ramazi Datiashvili practices at 90 Bergen St, Newark, NJ 071032425. Office phone: 9739721129.
What is Dr. Ramazi Datiashvili's NPI?
Dr. Ramazi Datiashvili's National Provider Identifier (NPI) is 1952466518, issued by NPPES.
Does Dr. Ramazi Datiashvili accept Medicare assignment?
Yes. Dr. Ramazi Datiashvili accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.