Individual provider Active NPI

Ewa Rutkowska, MD

  • Internal Medicine Physician
  • Hackensack, NJ
National Provider Identifier
1669428066
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06622400 Issued in NJ
Practice address
30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914
Phone
(201) 441-3352
NPI assigned
May 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06622400 NJ Primary

Addresses

Primary practice location

30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914

Mailing address

30 Prospect Ave
Faculty Practice Office
Hackensack, NJ 07601-1914

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000805 NJ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4789598475 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06622400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Jan 1, 2018 Accepting new patients
Geps Physician Group of New Jersey PC Internal Medicine CurrentSince Nov 30, 2015 Accepting new patients
Hackensack Specialty Care Associates, PC Past Accepting new patients
New Jersey Trauma and Critical Care Associates, PC Past Accepting new patients
12-15 Saddle River Road Operations LLC Past Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-3620

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

249 High St
Newton, NJ 07860
Phone (855) 699-6312

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maple Glen CenterFairlawn, NJ, CCN 315328 Skilled nursing facility W-2 Managing Employee (100%)
Adp of the SNF
May 1, 2024
Jan 22, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669428066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "FACULTY PRACTICE OFFICE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PROSPECT AVE",
            "address_2": "FACULTY PRACTICE OFFICE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011914",
            "telephone_number": "201-441-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKA",
        "first_name": "EWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06622400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.