Mara Y Ruiz

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NJ01039600 Issued in NJ

Practice address

42 E Century Rd
Paramus, NJ 07652-2805

Phone

(862) 684-0421

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1699433771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E CENTURY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522805",
            "telephone_number": "862-684-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E CENTURY RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522805",
            "telephone_number": "862-684-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MARA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383211",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ01039600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ruane
• Laura Suzanne Ruderman
• Chloe Rudic, LSW
• Justin Scott Rudolph, LCSW
• Jacqueline J Ruff, MSW, LSW
• Melanie Patricia Ruiz
• Stanley Edward Rusak, DDS
• Joseph Russano, BCBA
• Karen Russo-Steiglitz, MD
• Thomas Russo

• Pediatric Nurse Practitioner in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.