Active NPI
Imer B Ruiz Garcia
- Behavior Analyst
- Woodbridge, NJ
National Provider Identifier
1790150704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 581 Main St
Suit 640
Woodbridge, NJ 07095-1148 - Phone
- (732) 204-1635
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
581 Main St
Suit 640
Woodbridge, NJ 07095-1148
Mailing address
581 Main St
Suit 640
Woodbridge, NJ 07095-1148
Phone (732) 204-1635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1790150704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 MAIN ST",
"address_2": "SUIT 640",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951148",
"telephone_number": "732-204-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 MAIN ST",
"address_2": "SUIT 640",
"city": "WOODBRIDGE",
"state": "NJ",
"postal_code": "070951148",
"telephone_number": "732-204-1635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ GARCIA",
"first_name": "IMER",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.