Healthcare Provider Details

I. General information

NPI: 1578200879
Provider Name (Legal Business Name): JOAO RAMOS FERREIRA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2022
Last Update Date: 09/19/2023
Certification Date: 09/19/2023
Deactivation Date: 03/28/2023
Reactivation Date: 04/06/2023

III. Provider practice location address

6 FOREST AVE
PARAMUS NJ
07652-5241
US

IV. Provider business mailing address

20 VALLEY AVE APT A18
WESTWOOD NJ
07675-3600
US

V. Phone/Fax

Practice location:
  • Phone: 201-880-5145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR01110700
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: