Healthcare Provider Details

I. General information

NPI: 1891377677
Provider Name (Legal Business Name): CLAIRE RUANE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BERGEN ST UNIVERSITY HOSPITAL, ROOM I-248
NEWARK NJ
07103-2496
US

IV. Provider business mailing address

150 BERGEN ST UNIVERSITY HOSPITAL, ROOM I-248
NEWARK NJ
07103-2496
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-6056
  • Fax: 973-972-3129
Mailing address:
  • Phone: 973-972-6056
  • Fax: 973-972-3129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA12610300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: