MEDICARE: LENNY RAMIREZ, DPM P.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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	NJMD0002149	NJ

General Provider Information

NPI Number	:	1932215431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENNY RAMIREZ, DPM P.C.

Provider Business Mailing Address
First Line	:	540 37TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2545
Country	:	US
Telephone Number	:	201-864-6860
Fax Number	:	201-392-1596

Provider Business Practice Location Address
First Line	:	540 37TH ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2545
Country	:	US
Telephone Number	:	201-864-6860
Fax Number	:	201-392-1596

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LENNY RAMIREZ
Credential	:	DPM
Telephone Number	:	201-864-6860

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	04/10/2008

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