Individual provider Active NPI

Esther Wangechi Ruminjo

  • Adult Psychiatric/Mental Health Registered Nurse
  • Randolph, MA
National Provider Identifier
1245070093
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
258829 Issued in MA
Practice address
7 Fred Dolan Cir
Randolph, MA 02368-2854
Phone
(617) 470-6801
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 258829 MA Primary

Addresses

Primary practice location

7 Fred Dolan Cir
Randolph, MA 02368-2854

Mailing address

7 Fred Dolan Cir
Randolph, MA 02368-2854
Phone (617) 470-6801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108002935 MA Practitioner - Nurse Practitioner 4486182169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Community Care IncGroup PAC ID 6709799885, 117 clinicians

Practice addresses (Care Compare)

190 Lenox St
Norwood, MA 02062-3416
Phone (781) 769-8670

23 Mellen St
FL 5
Cambridge, MA 02138-2757
Phone (857) 331-6331

6 Kimball LN
Lynnfield, MA 01940-2682
Phone (781) 246-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Community Care, Inc. CurrentSince Oct 21, 2024 Accepting new patients

Locations

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1245070093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 FRED DOLAN CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682854",
            "telephone_number": "617-470-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 FRED DOLAN CIR",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682854",
            "telephone_number": "617-470-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMINJO",
        "first_name": "ESTHER",
        "middle_name": "WANGECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "258829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

Verify at the official NPI Registry.