Individual provider Active NPI

Justine Ruiz

  • Social Worker
  • Paterson, NJ
National Provider Identifier
1023879798
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06901300 Issued in NJ
Practice address
512 Market St
Paterson, NJ 07501-2339
Phone
(347) 915-6904
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06901300 NJ Primary

Addresses

Primary practice location

512 Market St
Paterson, NJ 07501-2339

Mailing address

378 Buffalo Ave
Paterson, NJ 07503-1012
Phone (973) 653-8270

Other practice location 1

123 Wanaque Ave
Pompton Lakes, NJ 07442-2101
Phone (347) 915-6904

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201003652 NJ Practitioner - Clinical Social Worker 4183117922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 493
Pompton Lakes, NJ 07442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06901300NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bring Hope CurrentSince Nov 12, 2025 Accepting new patients

Locations

400 Ramapo Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

123 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

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.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1023879798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BUFFALO AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075031012",
            "telephone_number": "973-653-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MARKET ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075012339",
            "telephone_number": "347-915-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Wanaque Ave",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "074422101",
            "country_code": "US",
            "telephone_number": "347-915-6904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06901300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.