Provider Demographics
NPI:1932215431
Name:LENNY RAMIREZ, DPM P.C.
Entity Type:Organization
Organization Name:LENNY RAMIREZ, DPM P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-864-6860
Mailing Address - Street 1:540 37TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2545
Mailing Address - Country:US
Mailing Address - Phone:201-864-6860
Mailing Address - Fax:201-392-1596
Practice Address - Street 1:540 37TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2545
Practice Address - Country:US
Practice Address - Phone:201-864-6860
Practice Address - Fax:201-392-1596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJMD0002149213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0773770001Medicare NSC
NJ908243Medicare ID - Type UnspecifiedGROUP NUMBER