MR. JOSE LUIS FERREIRA SR.


Address: 18 S Michigan Ave, Kenilworth, NJ 07033-1708
Phone: 9086230121

MR. JOSE LUIS FERREIRA SR. (NPI# 1063470920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063470920
Entity Type Individual
Full Name MR. JOSE LUIS FERREIRA SR.
Credential RT
Practice Address 18 S Michigan Ave
Kenilworth
NJ 07033-1708
Mailing Address Po Box 2092
Union
NJ 07083-2092
Practice Telephone 9086230121
Practice Fax Number 8664980867
Mailing Telephone 8889640088
Mailing Fax Number 8664980867
Enumeration Date 2006-05-02
Last Update Date 2013-09-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2471C3402X Radiologic Technologist
Specialization: Radiography
092842 NY Technologists, Technicians & Other Technical Service Providers
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
626344 NJ Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0064432 05

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Office Location

Street Address 18 S MICHIGAN AVE
City KENILWORTH
State NJ
Zip Code 07033-1708

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750507448 Brenda Joyce Como Radiologic Technologist Mccosh Health Ctr, Washington Rd., Princeton, NJ 08544-0001 2007-04-18
1205919396 Karen Cortellino Radiologic Technologist 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 2006-10-23

Competitor

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City KENILWORTH
Zip Code 07033

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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