Active NPI
Ellen Marie Ruban, MSW, LSW
- Clinical Social Worker
- Montville, NJ
National Provider Identifier
1457639908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SL04662600
- Practice address
- 390 Main Rd.
Montville, NJ 07045 - Phone
- (973) 316-9333
- Fax
- (973) 316-5790
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL04662600 | NJ | Primary |
Addresses
Primary practice location
390 Main Rd.
Montville, NJ 07045
Mailing address
P.O. Box 336
C/O Newbridge Services
Pompton Plains, NJ 07444
Phone (973) 839-2520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL04662600 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1457639908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 336",
"address_2": "C/O NEWBRIDGE SERVICES",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "07444",
"telephone_number": "973-839-2520",
"fax_number": "973-628-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAIN RD.",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "07045",
"telephone_number": "973-316-9333",
"fax_number": "973-316-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBAN",
"first_name": "ELLEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL04662600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.