Individual provider Active NPI

Ruirong Yuan, M.D.

  • Hematology & Oncology Physician
  • Fort Lee, NJ
National Provider Identifier
1558693606
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA07683700 Issued in NJ
Practice address
4 Horizon Rd
Apt. 620
Fort Lee, NJ 07024-6743
Phone
(201) 224-6627
NPI assigned
Jan 31, 2010
Last updated
Jan 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA07683700 NJ Primary
Hematology & Oncology Physician 207RH0003X 2185101 NY

Addresses

Primary practice location

4 Horizon Rd
Apt. 620
Fort Lee, NJ 07024-6743

Mailing address

4 Horizon Rd
Apt. 620
Fort Lee, NJ 07024-6743
Phone (201) 224-6627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2185101NYMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264896000000",
    "number": "1558693606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HORIZON RD",
            "address_2": "APT. 620",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246743",
            "telephone_number": "201-224-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HORIZON RD",
            "address_2": "APT. 620",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246743",
            "telephone_number": "201-224-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "RUIRONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-31",
        "last_updated": "2010-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA07683700",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "2185101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

Verify at the official NPI Registry.