Provider Demographics
NPI:1891852901
Name:MARIA ANN RAMOS, MD, PA
Entity Type:Organization
Organization Name:MARIA ANN RAMOS, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-777-2888
Mailing Address - Street 1:147 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:NJ
Mailing Address - Zip Code:07644-1717
Mailing Address - Country:US
Mailing Address - Phone:973-777-2888
Mailing Address - Fax:201-288-5691
Practice Address - Street 1:147 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:NJ
Practice Address - Zip Code:07644-1717
Practice Address - Country:US
Practice Address - Phone:973-777-2888
Practice Address - Fax:973-777-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA060400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ092681Medicare ID - Type Unspecified