Dr. Mary A Ravelo, MD
Psychiatry & Neurology, Psychiatry in Passaic, New Jersey
1497809339- Practice location
- 211 Pennington Ave, Passaic, NJ 07055-4617
- Phone
- 973-470-3000
- Fax
- —
- Last updated
- July 8, 2007
Mary A. Ravelo is a Psychiatry & Neurology, Psychiatry based in Passaic, NJ. Mary A. Ravelo practices in Passaic, NJ and has the professional credentials of MD. The NPI Number for Mary A. Ravelo is 1497809339 and holds a License No. MA068751 (NJ). The current practice location address for Mary A. Ravelo is 211 Pennington Ave, Passaic, NJ 07055-4617 and can be reached out via phone at 973-470-3000.
Provider Profile Details
- NPI Number
- 1497809339
- Provider Name
- Mary A. Ravelo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 211 Pennington Ave, Passaic, NJ 07055-4617
- Phone Number
- 973-470-3000
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 22, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 211 Pennington Ave
Passaic, NJ 07055-4617 - City
- Passaic
- State
- New Jersey
- Zip
- 07055-4617
- Phone Number
- 973-470-3000
Provider Business Mailing Address Details
- Address
- 211 Pennington Ave
Passaic, NJ 07055-4617 - City
- Passaic
- State
- NJ
- Zip
- 07055-4617
License Information
- License Number
- MA068751
- License State
- NJ
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mary A Ravelo, MD?
The NPI number of Dr. Mary A Ravelo, MD is 1497809339. It was assigned on January 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary A Ravelo, MD?
Dr. Mary A Ravelo, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number MA068751.
Where does Dr. Mary A Ravelo, MD practice?
The practice location is 211 Pennington Ave, Passaic, NJ 07055-4617. The office can be reached at 973-470-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497809339 directly on the NPPES registry website.