1043704851 NPI number — MRS. JESSICA MARITZA RAMOS DNP

Table of content: MRS. JESSICA MARITZA RAMOS DNP (NPI 1043704851)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043704851 NPI number — MRS. JESSICA MARITZA RAMOS DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS
Provider First Name:
JESSICA
Provider Middle Name:
MARITZA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043704851
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
544 COON HOLLOW RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIEGELSVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18077-9718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
169 MADISON AVE STE 2817
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10016-5101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-553-2823
Provider Business Practice Location Address Fax Number:
888-553-2823
Provider Enumeration Date:
06/15/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN11031811 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 4704415293 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 308822 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 209030126 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 71012687A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: RN2363439 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 115352 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 26NJ00884400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 347830 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: APRN.CNP.0031065 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 0024184568 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: AP61570928 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WE0003X , with the licence number: 26NR13584600 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 10259 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1043704851 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110189175A , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30017823250001 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10028954400 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 06684197 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300067472 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0481734 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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