Provider Demographics
NPI:1912794959
Name:ORTIZ, YASMEEN MARIYYAH
Entity type:Individual
Prefix:
First Name:YASMEEN
Middle Name:MARIYYAH
Last Name:ORTIZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 ROUTE 9 NORTH
Mailing Address - Street 2:BLDG5-2B
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859
Mailing Address - Country:US
Mailing Address - Phone:201-790-2265
Mailing Address - Fax:
Practice Address - Street 1:971 ROUTE 9 NORTH
Practice Address - Street 2:BLDG5 -2B
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859
Practice Address - Country:US
Practice Address - Phone:201-790-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist