1376608752 NPI number — DR. MARIA GEORGINA PINEDA RAMOS MD

Table of content: DR. MARIA GEORGINA PINEDA RAMOS MD (NPI 1376608752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376608752 NPI number — DR. MARIA GEORGINA PINEDA RAMOS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS
Provider First Name:
MARIA GEORGINA
Provider Middle Name:
PINEDA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PINEDA
Provider Other First Name:
MARIA
Provider Other Middle Name:
GEORGINA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1376608752
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
833 LACEY RD
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
FORKED RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-489-4885
Provider Business Mailing Address Fax Number:
609-489-4883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
833 LACEY RD
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
FORKED RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-489-4885
Provider Business Practice Location Address Fax Number:
609-489-4883
Provider Enumeration Date:
12/26/2006

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: 208000000X , with the licence number:  MA 66332 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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