Provider Demographics
NPI:1114043940
Name:RAMOS, FELIX (RPA)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105-1570
Mailing Address - Country:US
Mailing Address - Phone:973-589-5545
Mailing Address - Fax:973-589-0073
Practice Address - Street 1:275 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1570
Practice Address - Country:US
Practice Address - Phone:973-589-5545
Practice Address - Fax:973-589-0073
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007275363AM0700X
NJ25MP00079200363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical