Active NPIIndividual providerSole proprietor

Ruth W Grady, MD

Internal Medicine in Montclair, New Jersey

NPI Number1205009073
Practice location
42 N Fullerton Ave, Montclair, NJ 07042-3411
Fax
—
Last updated
April 11, 2008

Ruth Winifred Grady is an Internal Medicine based in Montclair, NJ. Ruth Winifred Grady practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Ruth Winifred Grady is 1205009073 and holds a License No. 25MA02116800 (NJ). The current practice location address for Ruth Winifred Grady is 42 N Fullerton Ave, Montclair, NJ 07042-3411 and can be reached out via phone at 973-744-0879.

Provider Profile Details

NPI Number
1205009073
Provider Name
Ruth Winifred Grady
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
42 N Fullerton Ave, Montclair, NJ 07042-3411
Phone Number
973-744-0879
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2008
Last Update Date
April 11, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 N Fullerton Ave
Montclair, NJ 07042-3411
Zip
07042-3411
Phone Number
973-744-0879
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
42 N Fullerton Ave
Montclair, NJ 07042-3411
City
Montclair
State
NJ
Zip
07042-3411
Phone Number
973-744-0879

License Information

License Number
25MA02116800
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ruth W Grady, MD?

The NPI number of Ruth W Grady, MD is 1205009073. It was assigned on April 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Ruth W Grady, MD?

Ruth W Grady, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA02116800.

Where does Ruth W Grady, MD practice?

The practice location is 42 N Fullerton Ave, Montclair, NJ 07042-3411. The office can be reached at 973-744-0879 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205009073 directly on the NPPES registry website.

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