Organization Active NPI

Maximo J Ramos Jr DMD PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1295926285
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042612 Issued in NY
Legal business name
MAXIMO J RAMOS JR DMD PC
Practice address
2375 Ocean Ave
Corner Ave S Apt 1F
Brooklyn, NY 11229-3527
Phone
(718) 743-7755
Fax
(718) 743-7756
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Dr. Maximo Junio Ramos Jr., DMD PC
Title
President
Phone
(718) 743-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 042612 NY Primary

Addresses

Primary practice location

2375 Ocean Ave
Corner Ave S Apt 1F
Brooklyn, NY 11229-3527

Mailing address

PO Box 770638
Woodside, NY 11377-0638
Phone (718) 743-7755

Other identifiers 1

IdentifierTypeStateIssuer
01174258MedicaidNY

National Provider Directory

National Provider Directory

Locations

2375 Ocean Ave
Apt 1F
Brooklyn, NY 11229
Phone (718) 743-7755

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1295926285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770638",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113770638",
            "telephone_number": "718-743-7755",
            "fax_number": "718-743-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 OCEAN AVE",
            "address_2": "CORNER AVE S APT 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293527",
            "telephone_number": "718-743-7755",
            "fax_number": "718-743-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMO J RAMOS JR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_middle_name": "JUNIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-743-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD PC"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01174258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.