DR. ROBERT A RUFFINI M.D.
NPI 1407920408
Internal Medicine - Gastroenterology in West Orange, NJ

Q: What is Robert Ruffini's NPI number?

The NPI number for Robert Ruffini is 1407920408. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Robert Ruffini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ruffini was last updated on August 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment

745 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 325-0061(973) 325-0219 Get Directions Write a Review

NPPES record last updated: August 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Robert A Ruffini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT A RUFFINI M.D. (NPI 1407920408) is an individual gastroenterology provider in West Orange, New Jersey, licensed in New Jersey (MA053106) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1984).

NPPES Registry Identity

NPI1407920408

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. ROBERT A RUFFINICredential: M.D.

Location Address745 NORTHFIELD AVEWest Orange, NJ 07052-1144

Mailing Address745 Northfield AveWest Orange, NJ 07052-1144 · (973) 325-0061 · Fax (973) 325-0219

Phone(973) 325-0061

Fax(973) 325-0219

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1984

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 5, 2010

✔ NPI 1407920408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NJ · MA053106

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

745 NORTHFIELD AVE, West Orange, NJ 07052

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Other Identifiers 2

Medicare UPINE54397NJ

Medicare PIN571888CD2NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert A Ruffini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163550849

PECOS Enrollment IDI20100920000113

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

616 services343 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

224 services224 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

131 services61 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

88 services84 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

38 services38 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

36 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services28 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

18 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers22 claims54 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims15 services$1.13 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISA G. CULLEN PA-C

Physician Assistant (Medical)

745 NORTHFIELD AVE, SUITE 4
WEST ORANGE, NJ 07052

Essex County (973) 736-0041

PIERRE MEDICAL GROUP LLC

Family Medicine

745 NORTHFIELD AVE, SUITE 1 LOWER WEST LEVEL
WEST ORANGE, NJ 07052

Essex County (973) 731-3800

RENAL MEDICAL ASSOCIATES LLC

Specialist

745 NORTHFIELD AVE, SUITE 1 LOWER WEST LEVEL
WEST ORANGE, NJ 07052

Essex County (973) 731-3800

HENRY J. MCCABE JR.

Internal Medicine

745 NORTHFIELD AVE
WEST ORANGE, NJ 07052

Essex County (973) 325-0061

DR. JEFFREY ERIC LEVY M.D.

Pediatrics (Adolescent Medicine)

745 NORTHFIELD AVE, SUITE 3
WEST ORANGE, NJ 07052

Essex County (973) 731-6400

CONTEMPORARY WOMEN'S CARE. PC

Obstetrics & Gynecology (Maternal & Fetal Medicine)

745 NORTHFIELD AVE
WEST ORANGE, NJ 07052

Essex County (973) 736-7700

THE MEDICAL GROUP P.A.

Internal Medicine (Gastroenterology)

745 NORTHFIELD AVE
WEST ORANGE, NJ 07052

Essex County (973) 325-0061

DR. LOUIS V SANGOSSE M.D.

Internal Medicine (Pulmonary Disease)

745 NORTHFIELD AVE
WEST ORANGE, NJ 07052

Essex County (973) 731-0200

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 Robert Ruffini's NPI number?

The NPI number for Robert Ruffini is 1407920408. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Robert Ruffini located?

Robert Ruffini practices at 745 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 325-0061.

What is Robert Ruffini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Ruffini enrolled in Medicare?

Yes. Robert Ruffini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Ruffini accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Ruffini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Ruffini affiliated with any hospitals?

According to CMS data, Robert Ruffini is affiliated with Morristown Medical Center, Chilton Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Ruffini was last updated on August 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.