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NPI Code Detail

MEDICARE: ADRIAN REYES RAMOS FNP-C

MEDICARE: ADRIAN REYES RAMOS FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ15216400NJ

General Provider Information

NPI Number : 1700694890
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN REYES RAMOS FNP-C
Provider Business Mailing Address
First Line : 65 LACEY RD STE A
Second Line :
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Provider Business Practice Location Address
First Line : 65 LACEY RD STE A
Second Line :
City : WHITING
State : NJ
Zip : 08759-2985
Country : US
Telephone Number : 732-350-0404
Fax Number : 732-350-2001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2024
Last Update Date : 11/25/2025

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Directions to “ ADRIAN REYES RAMOS FNP-C” Practice Location

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