Provider Demographics
NPI:1851599468
Name:LEONIDAS ZAPIACH MD RAFAEL RAMOS PTR
Entity type:Organization
Organization Name:LEONIDAS ZAPIACH MD RAFAEL RAMOS PTR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONIDAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPIACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-854-4646
Mailing Address - Street 1:235 60TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST NEW YORK
Mailing Address - State:NJ
Mailing Address - Zip Code:07093-2805
Mailing Address - Country:US
Mailing Address - Phone:201-854-4646
Mailing Address - Fax:201-854-3203
Practice Address - Street 1:235 60TH ST
Practice Address - Street 2:
Practice Address - City:WEST NEW YORK
Practice Address - State:NJ
Practice Address - Zip Code:07093-2805
Practice Address - Country:US
Practice Address - Phone:201-854-4646
Practice Address - Fax:201-854-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07282800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2877601Medicaid
NJW87924Medicare UPIN
NJ526731Medicare PIN