Active NPI
Federico Ruta, RD
- Registered Dietitian
- Newark, NJ
National Provider Identifier
1295088912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 819234
- Practice address
- 91-101 Hartford St
Newark, NJ 07103-2833 - Phone
- (973) 643-5404
- NPI assigned
- Oct 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 819234 | NJ | Primary |
Addresses
Primary practice location
91-101 Hartford St
Newark, NJ 07103-2833
Mailing address
91-101 Hartford St
Newark, NJ 07103-2833
Phone (973) 643-5404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819234 | Other | NJ | CDR CERT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 819234 | NJ | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1295088912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-101 HARTFORD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032833",
"telephone_number": "973-643-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-101 HARTFORD ST",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032833",
"telephone_number": "973-643-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTA",
"first_name": "FEDERICO",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NJ",
"license": "819234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR CERT",
"identifier": "819234",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.