Healthcare Provider Details

I. General information

NPI: 1356070148
Provider Name (Legal Business Name): CAMILA RAMIREZ VEGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAMILA RAMIREZ MD

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 OLD GEORGES RD STE 201
NORTH BRUNSWICK NJ
08902-4801
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 732-982-2888
  • Fax:
Mailing address:
  • Phone: 732-982-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMT226489
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA13009100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: