Healthcare Provider Details

I. General information

NPI: 1104732593
Provider Name (Legal Business Name): RAMISH PARVEZ SHEIKH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 BLACK HORSE PIKE 310
MAYS LANDING NJ
08330
US

IV. Provider business mailing address

4215 BLACK HORSE PIKE 310
MAYS LANDING NJ
08330
US

V. Phone/Fax

Practice location:
  • Phone: 609-728-0479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA02440900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: