Jason Thomas Ruch, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI00592200 Issued in NJ

Practice address

201 Hooper Ave Ste 4
Toms River, NJ 08753-7671

Phone

(732) 608-3196

NPI assigned

Jun 25, 2018

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Psychiatry NJ PCGroup PAC ID 2961865464, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: modernpsychiatry.jasonruch@161825.advancedmd-direct.com

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.

• Modern Psychiatry NJ PC

  • Neurology Physician
  • Toms River, NJ
  • NPI 1093419475
  Medicare reassignment Care Compare group NPD
• Aspire Counseling & Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toms River, NJ
  • NPI 1477055861
  NPD

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1114412004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LIEN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087536505",
            "telephone_number": "732-608-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOOPER AVE STE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537671",
            "telephone_number": "732-608-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00592200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002980",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rouse, CADC
• Sean C Rowland, MD
• RSBM Operator LLC
• Esther Rubinfeld, FNP
• Joseph Anthony Rubulotta Jr., DMD
• Kimberly L Rudolph, AUD
• Jordan Brielle Rudy, PA-C
• Randy Rueda-Rivera, MD
• Mary Elizabeth Rugar, NP
• Michael Ruggiero

• Psychologist in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.