Healthcare Provider Details

I. General information

NPI: 1922599372
Provider Name (Legal Business Name): ASHLEY SUSJE SANCHEZ RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 ESSEX ST STE 204
HACKENSACK NJ
07601-3245
US

IV. Provider business mailing address

211 ESSEX ST STE 204
HACKENSACK NJ
07601-3245
US

V. Phone/Fax

Practice location:
  • Phone: 201-487-1240
  • Fax: 201-487-1241
Mailing address:
  • Phone: 201-487-1240
  • Fax: 201-487-1241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA12977300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: