Provider Demographics
NPI:1649465196
Name:RAMIC MAHWAH, LLC
Entity type:Organization
Organization Name:RAMIC MAHWAH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:MEYERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-760-9500
Mailing Address - Street 1:400 FRANKLIN TURNPIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430
Mailing Address - Country:US
Mailing Address - Phone:207-760-9500
Mailing Address - Fax:201-760-0295
Practice Address - Street 1:400 FRANKLIN TURNPIKE
Practice Address - Street 2:SUITE B
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430
Practice Address - Country:US
Practice Address - Phone:207-760-9500
Practice Address - Fax:201-760-0295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEG, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPENDING261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJAPPLYING FOR MEDICARMedicare UPIN
127455Medicare UPIN