Individual provider Active NPI

Rebecca Nilsen, D.O.

  • Anesthesiology Physician
  • Shrewsbury, NJ
National Provider Identifier
1174720296
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB08843000 Issued in NJ
Practice address
655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone
(732) 945-3912
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MB08843000 NJ Primary

Addresses

Primary practice location

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179

Mailing address

655 Shrewsbury Ave
Shrewsbury, NJ 07702-4179
Phone (732) 945-3921

Other names 1

  • Dr. Rebecca Ruffle Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000513 NJ Practitioner - Anesthesiology 8123299096 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08843000NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Ambulatory Anesthesia LLC Anesthesiology CurrentSince Mar 22, 2014 Accepting new patients
Shrewsbury Ambulatory Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2013 Accepting new patients
Toms River Ambulatory Anesthesia LLC Anesthesiology CurrentSince Mar 22, 2014 Accepting new patients

Locations

1215 Route 70
Lakewood, NJ 08701
Phone (732) 719-1800

655 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 450-6000

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

1430 Hooper Ave
Toms River, NJ 08753
Phone (732) 240-2277

Organizations & group practices 3

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1174720296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-945-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024179",
            "telephone_number": "732-945-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILSEN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB08843000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "RUFFLE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.