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General NPI Number Information
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NPI Number | 1215922661
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Entity Type | Individual
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Provider Name | RESTITUTO S RUIZ JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 333 OLD HOOK RD
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City | WESTWOOD
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State | NJ
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Zip | 07675-3200
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Country | US
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Telephone | 201-664-4996
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Fax | 201-599-1351
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Provider Business Mailing Address
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Address Line | 774 PASCACK RD
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City | PARAMUS
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State | NJ
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Zip | 07652-4229
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Country | US
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Telephone | 201-599-0340
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25MA07002400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.15325R
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18336
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License Number State | MS
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MA07002400
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA07002400
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-6459
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License Number State | AR
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