Individual provider Active NPI

Ruth Samuel, M.ED., M.S., L.M.F.T

  • Marriage & Family Therapist
  • Tenafly, NJ
National Provider Identifier
1285841445
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1001179 Issued in NJ
Practice address
194 Jefferson Ave
Tenafly, NJ 07670-1630
Phone
(201) 871-4601
Fax
(201) 871-3366
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X F1001179 NJ Primary
Marriage & Family Therapist 106H00000X 000355 NY

Addresses

Primary practice location

194 Jefferson Ave
Tenafly, NJ 07670-1630

Mailing address

194 Jefferson Ave
Tenafly, NJ 07670-1630
Phone (201) 871-4601

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)
Not enrolled
Credentials
Master of Education, Master of Science

State licenses

LicenseStateTypeSpecialty
F1001179NJMDMarriage & Family Therapist
000355NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285841445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701630",
            "telephone_number": "201-871-4601",
            "fax_number": "201-871-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 JEFFERSON AVE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076701630",
            "telephone_number": "201-871-4601",
            "fax_number": "201-871-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "RUTH",
        "credential": "M.ED., M.S., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "F1001179",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.