STEPHANIE RUTHBERG MD, MS
NPI 1194302869
Student in an Organized Health Care Education/Training Program in Newark, NJ
About Stephanie Ruthberg Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE RUTHBERG MD, MS (NPI 1194302869) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Ruthberg Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Ruthberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Ruthberg's NPI number?
The NPI number for Stephanie Ruthberg is 1194302869. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Stephanie Ruthberg located?
Stephanie Ruthberg practices at 185 S Orange Ave, Newark, NJ 07103. The listed phone number is (973) 972-2977.
What is Stephanie Ruthberg's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stephanie Ruthberg enrolled in Medicare?
Yes. Stephanie Ruthberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Ruthberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Ruthberg reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Ruthberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Ruthberg was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephanie Ruthberg, MD, MS · NPI 1194302869
Student in an Organized Health Care Education/Training Program provider in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1194302869 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 185 S ORANGE AVE, Newark, NJ 07103-2757
- **Phone:** (973) 972-2977
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2021
## Record status
- **NPPES last updated:** March 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1194302869) · Data from the CMS NPPES public registry.