Provider Demographics
NPI:1346572963
Name:NARAYANAN, RAMYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAMYA
Middle Name:
Last Name:NARAYANAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NEWPORT PKWY
Mailing Address - Street 2:APT 2111
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2301
Mailing Address - Country:US
Mailing Address - Phone:917-420-0405
Mailing Address - Fax:
Practice Address - Street 1:459 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-9313
Practice Address - Country:US
Practice Address - Phone:908-686-5868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-07
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02420700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist