Healthcare Provider Details

I. General information

NPI: 1326621962
Provider Name (Legal Business Name): JANIA CAPELL RAMIREZ P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PROSPECT AVE APT PH9
HACKENSACK NJ
07601-2255
US

IV. Provider business mailing address

140 PROSPECT AVE APT PH9
HACKENSACK NJ
07601-2255
US

V. Phone/Fax

Practice location:
  • Phone: 929-385-4175
  • Fax:
Mailing address:
  • Phone: 862-407-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number3204-P.A.
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number3204-P.A.
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number20-171
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3204-P.A.
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: