Provider Demographics
NPI:1780289231
Name:NADRES, RAMONA
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:NADRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 AYCRIGG AVE APT 20B
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-3735
Mailing Address - Country:US
Mailing Address - Phone:862-703-9078
Mailing Address - Fax:
Practice Address - Street 1:285 AYCRIGG AVE APT 20B
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-3735
Practice Address - Country:US
Practice Address - Phone:862-703-9078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2025-07-21
Deactivation Date:2023-06-28
Deactivation Code:
Reactivation Date:2025-07-21
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00867500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist