Healthcare Provider Details

I. General information

NPI: 1396440483
Provider Name (Legal Business Name): RUCHI BHUJU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 SUMMIT AVE
UNION CITY NJ
07087-1924
US

IV. Provider business mailing address

1610 SUMMIT AVE
UNION CITY NJ
07087-1924
US

V. Phone/Fax

Practice location:
  • Phone: 201-863-5696
  • Fax:
Mailing address:
  • Phone: 201-863-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA13151100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: