NPIMap

Organization Active NPI

Diego Ruiz DC LLC

  • Chiropractor
  • Nutley, NJ
National Provider Identifier
1386848265
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DIEGO RUIZ DC LLC
Practice address
582 Franklin Ave
Nutley, NJ 07110-1253
Phone
(973) 661-4601
Fax
(973) 661-4607
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Diego Ruiz, DCNPI 1659314102
Title
President
Phone
(973) 661-4601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NJ Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X NJ

Addresses

Primary practice location

582 Franklin Ave
Nutley, NJ 07110-1253

Mailing address

582 Franklin Ave
Nutley, NJ 07110-1253
Phone (973) 661-4601

Other names 1

  • Options Physical Medicine and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000163 NJ Part B Supplier - Clinic/Group Practice 4284727660 Receives reassigned benefits from 15 practitioners
Practice locations: Nutley, NJ

National Provider Directory

National Provider Directory

Locations

359 Centre St
Nutley, NJ 07110
Phone (973) 235-9500

359 Centre St
Ste 101
Nutley, NJ 07110

582 Franklin Ave
Nutley, NJ 07110
Phone (973) 661-4601

582 Franklin Ave
Ste 111
Nutley, NJ 07110

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1386848265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101253",
            "telephone_number": "973-661-4601",
            "fax_number": "973-661-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101253",
            "telephone_number": "973-661-4601",
            "fax_number": "973-661-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO RUIZ DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-661-4601",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Options Physical Medicine and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.