Active NPI
Mark Joseph Ruoff, MD
- Specialist
- Wayne, NJ
National Provider Identifier
1710949276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA053392
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6073905 | Medicaid | NJ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053392 | NJ | MD | Specialist |
| MA05339200 | NJ | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pain Medicine Center, LLC | Current | Accepting new patients | |
| North Jersey Pediatric Orthopaedic Specialists, LLC | Specialist | Past | 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
- 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.
-
- Interventional Pain Medicine Physician
- Somerset, NJ
- NPI 1174707954
-
- Orthopaedic Surgery of the Spine Physician
- Wayne, NJ
- NPI 1598934580
-
- Specialist
- Wayne, NJ
- NPI 1710370929
-
- Specialist
- Wayne, NJ
- NPI 1023224029
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.