Individual provider Active NPI

Larider Ruffin, DNP, APN, FAAN

  • Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1861785099
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00331700 Issued in NJ
Practice address
2030 New Rd Unit B
Linwood, NJ 08221-1042
Phone
(609) 445-4926
Fax
(855) 800-9115
NPI assigned
May 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00331700 NJ Primary

Addresses

Primary practice location

2030 New Rd Unit B
Linwood, NJ 08221-1042

Mailing address

2030 New Rd Unit B
Linwood, NJ 08221-1042
Phone (609) 445-4926

Other identifiers 1

IdentifierTypeStateIssuer
0274381MedicaidNJ

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110824000734 NJ Practitioner - Nurse Practitioner 2062682313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2030 New Rd
Unit B
Linwood, NJ 08221-1042
Phone (609) 445-4926

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Egg Harbor Township, NJ, CCN 317066
  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reverence Discount Pharmacy Current Accepting new patients
Ruffin Associates Healthy Housecalls LLC CurrentSince Jan 2, 2020 Accepting new patients
Shore Memorial Hospital Past Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

2030 New Rd
Unit B
Linwood, NJ 08221
Phone (609) 445-4926

2030 New Rd
Linwood, NJ 08221
Phone (609) 383-6100

912 S Main St
Pleasantville, NJ 08232
Phone (609) 380-4846

Interoperability endpoints

  • Direct secure messaging: larider.ruffin.1@20926.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20926/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1861785099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NEW RD UNIT B",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211042",
            "telephone_number": "609-445-4926",
            "fax_number": "855-800-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NEW RD UNIT B",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211042",
            "telephone_number": "609-445-4926",
            "fax_number": "855-800-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "LARIDER",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, FAAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00331700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274381",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.