Ruth K Dominguez Enriquez, PA
Physician Assistant in Glen Ridge, New Jersey
1598462228- Practice location
- 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521
- Phone
- 973-969-3800
- Fax
- 833-488-1213
- Last updated
- April 16, 2025
Ruth K Dominguez Enriquez is a Physician Assistant based in Glen Ridge, NJ. Ruth K Dominguez Enriquez practices in Glen Ridge, NJ and has the professional credentials of PA. The NPI Number for Ruth K Dominguez Enriquez is 1598462228 and holds a License No. 25MP00766000 (NJ). The current practice location address for Ruth K Dominguez Enriquez is 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521 and can be reached out via phone at 973-969-3800 and via fax at 833-488-1213.
Provider Profile Details
- NPI Number
- 1598462228
- Provider Name
- Ruth K Dominguez Enriquez
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521
- Phone Number
- 973-969-3800
- Fax Number
- 833-488-1213
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2023
- Last Update Date
- April 16, 2025
- Certification Date
- April 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521 - City
- Glen Ridge
- State
- New Jersey
- Zip
- 07028-1521
- Phone Number
- 973-969-3800
- Fax Number
- 833-488-1213
Provider Business Mailing Address Details
- Address
- 271 Grove Ave Ste E
Verona, NJ 07044-1730 - City
- Verona
- State
- NJ
- Zip
- 07044-1730
- Phone Number
- 973-559-3700
- Fax Number
- 833-484-1686
License Information
- License Number
- 25MP00766000
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 K Dominguez Enriquez, PA?
The NPI number of Ruth K Dominguez Enriquez, PA is 1598462228. It was assigned on February 13, 2023 and is currently active in the NPPES registry.
What is the specialty of Ruth K Dominguez Enriquez, PA?
Ruth K Dominguez Enriquez, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00766000.
Where does Ruth K Dominguez Enriquez, PA practice?
The practice location is 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028-1521. The office can be reached at 973-969-3800 (phone) or 833-488-1213 (fax).
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 1598462228 directly on the NPPES registry website.