DR. RICARDO JP FERRAZ (NPI# 1275505844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275505844 |
| Entity Type | Individual |
| Full Name | DR. RICARDO JP FERRAZ |
| Credential | MD |
| Practice Address |
374 Chestnut St Ste A Newark NJ 07105-2495 |
| Practice Telephone | 9736905995 |
| Practice Fax Number | 9735892405 |
| Mailing Telephone | 9736905995 |
| Mailing Fax Number | 9735892405 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2013-12-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA04109100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ LICENSE | 25MA04019100 | 01 |
| NJ | DEA NUMBER | AF1525243 | 01 |
| NJ | NJ CDS NUMBER | D03302700 | 01 |
| NJ | CLIA NUMBER | 31D0108131 | 01 |
| NJ | AMERICAN BOARD OF PEDIATR | 058663 | 01 |
| NJ | ECFMG NUMBER | 312-221-5 | 01 |
| NJ | 3127800 | 05 |
| Street Address |
374 CHESTNUT ST STE A |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1942386966 | Feminia Castro Mac | Pediatrics | 18 Ferry St, Newark, NJ 07105-1436 | 2006-10-31 |
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1417958463 | Ernest Frederick Joseph Siebold | Pediatrics | 282 The Green, University of Delaware, Student Health Service, Newark, DE 19716-8101 | 2005-08-02 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1215179312 | Pediaric Center 2000 Inc | Pediatrics | 571 N 6th St, Newark, NJ 07107-2501 | 2009-04-03 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| 1801967740 | Paulette Denise Stanford | Pediatrics | 90 Bergen St, Doc 4300, Newark, NJ 07103-2425 | 2006-11-13 |
| 1275543365 | Wendy Neal | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-08-09 |
| 1063434447 | Pauline A Walks-akintobi | Pediatrics | 741 Broadway, Newark, NJ 07104-4309 | 2006-07-24 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.