Active NPI
Robert Ruffalo, P.T.
- Physical Medicine & Rehabilitation Physician
- Bloomfield, NJ
National Provider Identifier
1750320891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- QA00407200
- Practice address
- 265 Broad St
Suite 4
Bloomfield, NJ 07003-2764 - Phone
- (973) 429-3001
- Fax
- (973) 429-2033
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC00374000 | NJ | |
| Physical Medicine & Rehabilitation Physician | 208100000X | QA00407200 | NJ | Primary |
Addresses
Primary practice location
265 Broad St
Suite 4
Bloomfield, NJ 07003-2764
Mailing address
2 Claridge Dr Apt 9
Verona, NJ 07044-3061
Phone (973) 239-9313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
265 Broad St
Bloomfield, NJ 07003-2764
Phone (973) 429-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC00374000 | NJ | MD | Chiropractor |
| QA00407200 | NJ | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Associates of Belleville PC | Current | Accepting new patients | |
| A Team Approach Physical Therapy Center | Past | Accepting new patients |
Locations
155 Belleville Ave
Belleville, NJ 07109
Phone (973) 450-0878
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- Belleville, NJ
- NPI 1053425900
-
- Rehabilitation Clinic/Center
- Bloomfield, NJ
- NPI 1467499442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1750320891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CLARIDGE DR APT 9",
"city": "VERONA",
"state": "NJ",
"postal_code": "070443061",
"telephone_number": "973-239-9313",
"fax_number": "973-239-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 BROAD ST",
"address_2": "SUITE 4",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032764",
"telephone_number": "973-429-3001",
"fax_number": "973-429-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFALO",
"first_name": "ROBERT",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC00374000",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NJ",
"license": "QA00407200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.