Individual provider Active NPI

Kimberly Klimek Ruhl, M.D.

  • Specialist
  • West Orange, NJ
National Provider Identifier
1205949567
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA69930 Issued in NJ
Practice address
101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1023
Phone
(973) 731-9600
Fax
(973) 731-1635
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA69930 NJ Primary

Addresses

Primary practice location

101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1023

Mailing address

101 Old Short Hills Rd
Suite 410
West Orange, NJ 07052-1023
Phone (973) 731-9600

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
I20050414000207 NJ Practitioner - Dermatology 4284671983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PCGroup PAC ID 0143442806, 180 clinicians
Margaret Ravits MDGroup PAC ID 9133225618, 5 clinicians

Practice addresses (Care Compare)

315 E Northfield Rd
Suite 2a
Livingston, NJ 07039-4800
Phone (973) 878-0850

721 Summit Ave
Hackensack, NJ 07601-1608
Phone (201) 487-3691

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions808
Removal or shaving of skin growth1-10
Skin biopsy338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA69930NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Ravits MD CurrentSince Oct 24, 2000 Accepting new patients
Schweiger Dermatology, PC CurrentSince Dec 23, 2019 Accepting new patients

Locations

721 Summit Ave
Hackensack, NJ 07601
Phone (201) 487-3691

315 E Northfield Rd
Ste 2A
Livingston, NJ 07039
Phone (973) 535-3200

130 Kinderkamack Rd
River Edge, NJ 07661
Phone (201) 288-9191

130 Kinderkamack Rd
Ste 205
River Edge, NJ 07661
Phone (201) 488-2020

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1205949567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 410",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-731-9600",
            "fax_number": "973-731-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLD SHORT HILLS RD",
            "address_2": "SUITE 410",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521023",
            "telephone_number": "973-731-9600",
            "fax_number": "973-731-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHL",
        "first_name": "KIMBERLY",
        "middle_name": "KLIMEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA69930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.