Healthcare Provider Details

I. General information

NPI: 1518349976
Provider Name (Legal Business Name): CRIS RAMALHO FABOS ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 FRANKLIN ST
JERSEY CITY NJ
07307-2326
US

IV. Provider business mailing address

1133 PARK AVE
HOBOKEN NJ
07030-4308
US

V. Phone/Fax

Practice location:
  • Phone: 973-542-9757
  • Fax:
Mailing address:
  • Phone: 973-542-9757
  • Fax: 973-440-3583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00555600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00555600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: