Raul Marques Ferreira

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00267000 Issued in NJ

Practice address

577 Goffle Rd
Wyckoff, NJ 07481-2946

Phone

(201) 857-5910

Fax

(201) 857-5911

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1447803200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OAK ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602217",
            "telephone_number": "201-951-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 GOFFLE RD",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812946",
            "telephone_number": "201-857-5910",
            "fax_number": "201-857-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERREIRA",
        "first_name": "RAUL",
        "middle_name": "MARQUES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00267000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayna Ewald, PHD
• Gabriella Fama Lorenzo, PT, DPT, OCS
• Families for Families
• Kristen E Faren
• Melanie Feller, M.A., CCC-SLP
• Christine Louise Fischer, DPT
• Fitcare Corporation
• Maria Angela Flores, NP
• Foot & Ankle Associates of Wyckoff
• Fordham-Lewis Consulting, L.L.C. (Fordham-Lewis)

• Athletic Trainer in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.