Individual provider Active NPI

Lisa Ann Ruml, M.D.

  • Internal Medicine Physician
  • Dover, NJ
National Provider Identifier
1831160837
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06711000 Issued in NJ
Practice address
400 W Blackwell St
Dover, NJ 07801-2525
Phone
(973) 989-3085
NPI assigned
Jan 28, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 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 MA67110 NJ
Internal Medicine Physician 207R00000X 25MA06711000 NJ Primary

Addresses

Primary practice location

400 W Blackwell St
Dover, NJ 07801-2525

Mailing address

7 Grover Rd
Dover, NJ 07801-2506
Phone (973) 876-5260

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
I20090529000490 NJ Practitioner - Internal Medicine 1658420252 Reassigns benefits to 1 organization
Practice locations: Dover, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA67110NJMDSpecialist
25MA06711000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Morris County LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Northwest Jersey Medical Associates, P.a. Specialist Past Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients
Prime Healthcare Services - Saint Clare's LLC Past Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

400 W Blackwell St
Dover, NJ 07801
Phone (973) 537-3818

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1831160837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GROVER RD",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012506",
            "telephone_number": "973-876-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BLACKWELL ST",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078012525",
            "telephone_number": "973-989-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUML",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-28",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA67110",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06711000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NJ

Sources for this page

Verify at the official NPI Registry.