Individual provider Active NPI

Mark Joseph Ruoff, MD

  • Specialist
  • Wayne, NJ
National Provider Identifier
1710949276
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA053392 Issued in NJ
Practice address
246 Hamburg Turnpike
Suite 305
Wayne, NJ 07470
Phone
(973) 689-6266
Fax
(973) 689-6264
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MA05339200 NJ
Specialist 174400000X MA053392 NJ Primary

Addresses

Primary practice location

246 Hamburg Turnpike
Suite 305
Wayne, NJ 07470

Mailing address

246 Hamburg Turnpike
Suite 305
Wayne, NJ 07470
Phone (973) 689-6266

Other identifiers 1

IdentifierTypeStateIssuer
6073905MedicaidNJ

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
I20100929000687 NJ Practitioner - Orthopedic Surgery 2466578216 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA053392NJMDSpecialist
MA05339200NJMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Pain Medicine Center, LLC CurrentSince Jan 31, 2018 Accepting new patients
North Jersey Pediatric Orthopaedic Specialists, LLC Specialist PastSince Jan 1, 2021 Accepting new patients
Arash Emami, M.D.,PC Orthopaedic Surgery of the Spine Past Accepting new patients
University Spine Center, P.C. Specialist Past Accepting new patients

Locations

294 Applegarth Rd
Ste G
Monroe, NJ 08831
Phone (732) 828-1003

59 Veronica Ave
Ste 1
Somerset, NJ 08873
Phone (732) 873-6868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHJCCA

Organizations & group practices 4

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1710949276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TURNPIKE",
            "address_2": "SUITE 305",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-689-6266",
            "fax_number": "973-689-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TURNPIKE",
            "address_2": "SUITE 305",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-689-6266",
            "fax_number": "973-689-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOFF",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NJ",
            "license": "MA05339200",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA053392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6073905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.