Individual provider Active NPI

Ronald Vincent Ciuffreda, M.D.

  • Internal Medicine Physician
  • Springfield, NJ
National Provider Identifier
1831205871
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03365500 Issued in NJ
Practice address
100 Stone Hill Rd Apt M4
Springfield, NJ 07081-2129
Phone
(862) 259-1292
NPI assigned
Aug 22, 2006
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA03365500 NJ Primary

Addresses

Primary practice location

100 Stone Hill Rd Apt M4
Springfield, NJ 07081-2129

Mailing address

100 Stone Hill Rd Apt M4
Springfield, NJ 07081-2129
Phone (862) 259-1292

Other identifiers 1

IdentifierTypeStateIssuer
0938301MedicaidNJ

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
I20051006000089 NJ Practitioner - Internal Medicine 7315962644 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Sep 30, 2023 Accepting new patients
Mendham Medical Practice LLC Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients

Locations

19 E Main St
Ste 1
Mendham, NJ 07945
Phone (973) 543-6505

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1831205871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONE HILL RD APT M4",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812129",
            "telephone_number": "862-259-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONE HILL RD APT M4",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812129",
            "telephone_number": "862-259-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUFFREDA",
        "first_name": "RONALD",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03365500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.