Individual provider Active NPI

Kirsten A. Ruhl, PA-C

  • Physician Assistant
  • Florham Park, NJ
National Provider Identifier
1003221193
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00348900 Issued in NJ
Practice address
325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212
Phone
(973) 822-2000
Fax
(973) 822-2001
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017609 NY
Physician Assistant 363A00000X 25MP00348900 NJ Primary

Addresses

Primary practice location

325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212

Mailing address

325 Columbia Tpke Ste 106
Florham Park, NJ 07932-1212
Phone (973) 822-2000

Other identifiers 1

IdentifierTypeStateIssuer
017609OtherNYNYS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020000502 NJ Practitioner - Physician Assistant 3779701180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maron and Rodrigues Medical Group LLCGroup PAC ID 3375596018, 8 clinicians

Practice addresses (Care Compare)

10 James St
Suite 150
Florham Park, NJ 07932-1426
Phone (973) 822-2000

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBHBD/Endpoint/JEBHBD
  • Direct secure messaging: kirsten.tandberg.1@17698.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1003221193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA TPKE STE 106",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321212",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 COLUMBIA TPKE STE 106",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321212",
            "telephone_number": "973-822-2000",
            "fax_number": "973-822-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHL",
        "first_name": "KIRSTEN",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017609",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00348900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "017609",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.