Individual provider Active NPI

Jose R Ruiz, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Millville, NJ
National Provider Identifier
1497798334
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00234800 Issued in NJ
Practice address
1600 High St N
Millville, NJ 08332-1922
Phone
(856) 825-9009
Fax
(856) 825-4766
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00234800 NJ Primary

Addresses

Primary practice location

1600 High St N
Millville, NJ 08332-1922

Mailing address

1600 High St N
Millville, NJ 08332-1922
Phone (856) 825-9009

Other identifiers 2

IdentifierTypeStateIssuer
784404OtherNJINDEPENDENCE BCBS
7000201MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007001232 NJ Practitioner - Podiatry 8325187347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 High St N
Millville, NJ 08332-1922
Phone (856) 825-9009

1600 N High St
Millville, NJ 08332-1922

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue183
Removal of nail tissue327
Removal or shaving of skin growth146
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25MD00234800NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reconstructive Foot and Ankle Surgical Associates PC Foot & Ankle Surgery CurrentSince Jan 14, 1998 Accepting new patients
Physicians for Women'S Health, P.C. Current Accepting new patients

Locations

1306 High St N
Millville, NJ 08332
Phone (609) 825-9009

1600 High St N
Millville, NJ 08332
Phone (856) 413-3021

1600 High St N
Ste 201
Millville, NJ 08332
Phone (856) 825-9009

Interoperability endpoints

  • Direct secure messaging: jose.ruiz@reconstructivefootandanklesurgica.chartmakerdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1497798334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321922",
            "telephone_number": "856-825-9009",
            "fax_number": "856-825-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HIGH ST N",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083321922",
            "telephone_number": "856-825-9009",
            "fax_number": "856-825-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00234800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BCBS",
            "identifier": "784404",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

Verify at the official NPI Registry.