Healthcare Provider Details

I. General information

NPI: 1215840285
Provider Name (Legal Business Name): SAMANTHA RAMOS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 ALFRED AVE UNIT 534
TEANECK NJ
07666-5774
US

IV. Provider business mailing address

329 ALFRED AVE UNIT 534
TEANECK NJ
07666-5774
US

V. Phone/Fax

Practice location:
  • Phone: 929-923-8435
  • Fax: 212-741-3040
Mailing address:
  • Phone: 929-923-8435
  • Fax: 212-741-3040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WI0600X
TaxonomyInfection Control Registered Nurse
License Number767567
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: