Healthcare Provider Details

I. General information

NPI: 1346590924
Provider Name (Legal Business Name): STEVEN M FERRER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2012
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 S FRANKLIN TPKE SUITE 101
RAMSEY NJ
07446-2558
US

IV. Provider business mailing address

48 S FRANKLIN TPKE SUITE 101
RAMSEY NJ
07446-2558
US

V. Phone/Fax

Practice location:
  • Phone: 201-962-9199
  • Fax: 201-962-9198
Mailing address:
  • Phone: 201-962-9199
  • Fax: 201-962-9198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number25MA09123800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MA09123800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: