Healthcare Provider Details

I. General information

NPI: 1124983028
Provider Name (Legal Business Name): YOLANNY VIANNERIS RAMIREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 E JERSEY ST STE 1A
ELIZABETH NJ
07201-5503
US

IV. Provider business mailing address

1019 E JERSEY ST STE 1A
ELIZABETH NJ
07201-5503
US

V. Phone/Fax

Practice location:
  • Phone: 908-440-6395
  • Fax:
Mailing address:
  • Phone: 908-440-6395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358562
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP035027
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15486400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: