Individual provider Active NPI

Robert Ruffalo, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Bloomfield, NJ
National Provider Identifier
1750320891
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
QA00407200 Issued in NJ
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

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20071116000374 NJ Practitioner - Physical Therapist in Private Practice 9537257027 Reassigns benefits to 1 organization
Practice locations: Bloomfield, NJ

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

LicenseStateTypeSpecialty
MC00374000NJMDChiropractor
QA00407200NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Belleville PC CurrentSince Feb 21, 2013 Accepting new patients
A Team Approach Physical Therapy Center PastSince Apr 24, 1990 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.

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.

Verify at the official NPI Registry.