Individual provider Active NPI

Ricardo JP Ferraz, MD

  • Pediatric Adolescent Medicine Physician
  • Sarasota, FL
National Provider Identifier
1275505844
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME158063 Issued in FL
Practice address
5656 Beneva Woods Cir
Sarasota, FL 34233-4124
Phone
(973) 477-1952
Fax
(973) 589-2405
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA04109100 NJ
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X ME158063 FL Primary

Addresses

Primary practice location

5656 Beneva Woods Cir
Sarasota, FL 34233-4124

Mailing address

5656 Beneva Woods Cir
Sarasota, FL 34233-4124
Phone (973) 477-1952

Other identifiers 7

IdentifierTypeStateIssuer
D03302700OtherNJNJ CDS NUMBER
3127800MedicaidNJ
058663OtherNJAMERICAN BOARD OF PEDIATR
312-221-5OtherNJECFMG NUMBER
31D0108131OtherNJCLIA NUMBER
ME158063OtherFLFL LICENSE
25MA04019100OtherNJNJ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME158063FLMDPediatric Adolescent Medicine Physician
25MA04109100NJMDPediatric Adolescent Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275505844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BENEVA WOODS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334124",
            "telephone_number": "973-477-1952",
            "fax_number": "973-589-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BENEVA WOODS CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334124",
            "telephone_number": "973-477-1952",
            "fax_number": "973-589-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAZ",
        "first_name": "RICARDO",
        "middle_name": "JP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA04109100",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME158063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CDS NUMBER",
            "identifier": "D03302700",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF PEDIATR",
            "identifier": "058663",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG NUMBER",
            "identifier": "312-221-5",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "31D0108131",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME158063",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "25MA04019100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.