Provider Demographics
NPI:1922995216
Name:RAMOS, OLIVIA JOY (PA-C)
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:JOY
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 ROUTE 36 BLDG C
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1340
Mailing Address - Country:US
Mailing Address - Phone:732-923-4505
Mailing Address - Fax:
Practice Address - Street 1:185 ROUTE 36 BLDG C
Practice Address - Street 2:
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1340
Practice Address - Country:US
Practice Address - Phone:732-923-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00936400363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant