Individual provider Active NPI

Michael David Ruppert Jr., NP-C

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1659870848
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00802300 Issued in NJ
Practice address
475 Hurffville Crosskeys Rd Ste B
Sewell, NJ 08080-2320
Phone
(856) 553-6611
NPI assigned
Feb 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00802300 NJ Primary

Addresses

Primary practice location

475 Hurffville Crosskeys Rd Ste B
Sewell, NJ 08080-2320

Mailing address

475 Hurffville Crosskeys Rd Ste B
Sewell, NJ 08080-2320

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514001667 NJ Practitioner - Nurse Practitioner 9638433980 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Regional Urgent Care LLC CurrentSince Apr 13, 2020 Accepting new patients
GT Urgent Care PC CurrentSince Apr 7, 2018 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Jul 11, 2024 Accepting new patients
DRX Paramus, LLC CurrentSince Jul 1, 2023 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince Apr 13, 2020 Accepting new patients
Jersey Irish Medical CurrentSince Dec 1, 2018 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

67 E Ridgewood Ave
Unit C
Paramus, NJ 07652
Phone (201) 262-2010

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

475 Hurffville Crosskeys Rd
Ste B
Sewell, NJ 08080
Phone (856) 553-6611

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1659870848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HURFFVILLE CROSSKEYS RD STE B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HURFFVILLE CROSSKEYS RD STE B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802320",
            "telephone_number": "856-553-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00802300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.