Individual provider Active NPI

Ned Lloyd Namoc Ruiz, PHYSICAL THERAPIST

  • Physical Therapist
  • Englewood, NJ
National Provider Identifier
1225353774
Registry record updated Mar 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01219200 Issued in NJ
Practice address
106 Grand Ave
Englewood, NJ 07631-3574
Phone
(201) 503-1900
Fax
(201) 503-1901
NPI assigned
Mar 27, 2010
Last updated
Mar 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01219200 NJ Primary

Addresses

Primary practice location

106 Grand Ave
Englewood, NJ 07631-3574

Mailing address

106 Grand Ave
Englewood, NJ 07631-3574
Phone (201) 503-1900

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01219200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Park Pain & Rehabilitation Medicine, PA CurrentSince Mar 1, 2011 Accepting new patients
Hanmi Medical Associates PA PastSince Dec 1, 2011 Accepting new patients
Spine Center and Orthopedic Rehabilitation PastSince Aug 17, 2025 Accepting new patients

Locations

232 Broad Ave
Ste 208
Palisades Park, NJ 07650
Phone (201) 346-0999

784 Grand Ave
Ste 301
Ridgefield, NJ 07657
Phone (201) 944-1124

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269648000000",
    "number": "1225353774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-503-1900",
            "fax_number": "201-503-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313574",
            "telephone_number": "201-503-1900",
            "fax_number": "201-503-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "NED LLOYD",
        "middle_name": "NAMOC",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01219200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.