Individual provider Active NPI

Ruth Lynne Clark-Brown, M.D.

  • Neurology Physician
  • East Orange, NJ
National Provider Identifier
1740349968
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MA56498 Issued in NJ
Practice address
240 Central Ave.
East Orange, NJ 07018
Phone
(973) 674-3500
Fax
(973) 678-6319
NPI assigned
Dec 6, 2006
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA56498 NJ
Neurology Physician 2084N0400X MA56498 NJ Primary

Addresses

Primary practice location

240 Central Ave.
East Orange, NJ 07018

Mailing address

240 Central Ave.
East Orange, NJ 07018
Phone (973) 674-3500

Other identifiers 3

IdentifierTypeStateIssuer
135853OtherNJMEDICARE GROUP
280330501OtherNJMEDICAID GROUP
5069408MedicaidNJ

Other names 1

  • Dr. Ruth L. Clark Professional name

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
I20110217000711 NJ Practitioner - Neurology 3779764170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Heart Center of the OrangesGroup PAC ID 7517950645, 41 clinicians

Practice addresses (Care Compare)

60 Evergreen PL
Suite 400
East Orange, NJ 07018-2120
Phone (973) 395-1550

60 Vose Ave
South Orange, NJ 07079-2026
Phone (973) 763-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56498NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Heart Center of the Oranges CurrentSince Mar 1, 2015 Accepting new patients
The Heart Center of the Oranges Past Accepting new patients
Success TMS Professional Services New Jersey LLC Past Accepting new patients

Locations

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

60 Evergreen Pl
Ste 400
East Orange, NJ 07018

60 Vose Ave
South Orange, NJ 07079
Phone (973) 763-5200

92 Old Northfield Rd
West Orange, NJ 07052
Phone (973) 736-0885

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1740349968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CENTRAL AVE.",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-674-3500",
            "fax_number": "973-678-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CENTRAL AVE.",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "07018",
            "telephone_number": "973-674-3500",
            "fax_number": "973-678-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-BROWN",
        "first_name": "RUTH",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA56498",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "MA56498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "135853",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "280330501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5069408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "CLARK",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.