Individual provider Active NPI

Ruchita Parekh, MD

  • Pediatrics Physician
  • Hoboken, NJ
National Provider Identifier
1629537857
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA11484900 Issued in NJ
Practice address
333 15TH St
Hoboken, NJ 07030-3429
Phone
(201) 482-9770
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA11484900 NJ Primary

Addresses

Primary practice location

333 15TH St
Hoboken, NJ 07030-3429

Mailing address

32 Franklin St
Tenafly, NJ 07670-2005
Phone (201) 569-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821002384 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1759619216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11484900NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenafly Pediatrics Pediatrics PastSince May 19, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1629537857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FRANKLIN ST",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702005",
            "telephone_number": "201-569-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 15TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303429",
            "telephone_number": "201-482-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREKH",
        "first_name": "RUCHITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11484900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.