Active NPI
Ruben T Ong, MD
- Surgery Physician
- Yardville, NJ
National Provider Identifier
1063556371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA02440900
- Practice address
- 4228 S Broad St
Yardville, NJ 08620-2105 - Phone
- (609) 585-2421
- Fax
- (609) 585-8888
- NPI assigned
- Feb 19, 2007
- Last updated
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA02440900 | NJ | |
| Surgery Physician | 208600000X | 25MA02440900 | NJ | Primary |
Addresses
Primary practice location
4228 S Broad St
Yardville, NJ 08620-2105
Mailing address
4228 S Broad St
Yardville, NJ 08620-2105
Phone (609) 585-2421
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91000782800 | Other | NJ | AMERICHOICE |
| 2739607 | Medicaid | NJ | |
| 33480 | Other | NJ | AETNA USHC |
| 35424 | Other | UNIVERSITY HEALTHPLANS | |
| J37848 | Other | NJ | HEALTHNET |
| 0083924000 | Other | NJ | AMERIHEALTH-KEYSTONE |
| P874283 | Other | OXFORD | |
| 1105614 | Other | NJ | HORIZON NJ HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Yardville, NJ
- NPI 1639492135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1063556371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 S BROAD ST",
"city": "YARDVILLE",
"state": "NJ",
"postal_code": "086202105",
"telephone_number": "609-585-2421",
"fax_number": "609-585-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 S BROAD ST",
"city": "YARDVILLE",
"state": "NJ",
"postal_code": "086202105",
"telephone_number": "609-585-2421",
"fax_number": "609-585-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "RUBEN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA02440900",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA02440900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "91000782800",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2739607",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "33480",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTHPLANS",
"identifier": "35424",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "J37848",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH-KEYSTONE",
"identifier": "0083924000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P874283",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1105614",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yardville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.