DR. FRANK RUIZ MD
NPI 1417967019
Internal Medicine - Gastroenterology in Clifton, NJ

Q: What is Frank Ruiz's NPI number?

The NPI number for Frank Ruiz is 1417967019. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Frank Ruiz'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 Frank Ruiz was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

98.4/100

CMS Quality Rating

925 CLIFTON AVE, CLIFTON, NJ 07013(973) 458-0408(973) 405-6564 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Sep 11, 2019, Apr 27, 2018 (3 updates tracked since 2018).

On this page

About Dr. Frank Ruiz Md NPPES

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

DR. FRANK RUIZ MD (NPI 1417967019) is an individual gastroenterology provider in Clifton, New Jersey, licensed in New Jersey (25MA6384100) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and maintains a secondary practice location in Rutherford.

NPPES Registry Identity

NPI1417967019

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. FRANK RUIZCredential: MD

Location Address925 CLIFTON AVEClifton, NJ 07013-2724

Mailing Address1130 Mcbride Ave Fl 3Woodland Park, NJ 07424-3806 · (973) 812-1400 · Fax (973) 812-1404

Phone(973) 458-0408

Fax(973) 405-6564

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateAugust 8, 2006

Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1417967019 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 · 25MA6384100

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.

925 CLIFTON AVE, Clifton, NJ 07013

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Secondary Practice Location 1

Location 171 Union Ave Ste 201Rutherford, NJ 07070-1272 · Phone (201) 842-0020 · Fax (201) 842-0010

Other Identifiers 1

Medicaid7478208NJ

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. Frank Ruiz Md 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 ID648236810

PECOS Enrollment IDI20120208000694

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 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.

215 services136 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

131 services20 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

83 services20 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.

41 services40 patients

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.

39 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 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.

33 services33 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.

23 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services22 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.4/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

Improvement Activities

Reported Quality Measures

e-Prescribing

98%702 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

85%732 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. AHMED ABDEL MEKKAWY M.D.

Internal Medicine (Pulmonary Disease)

925 CLIFTON AVE, SUITE 101
CLIFTON, NJ 07013

Passaic County (973) 778-5070

DIANA RICCIOLI M.D.

Psychiatry & Neurology (Psychiatry)

925 CLIFTON AVE, STE 103
CLIFTON, NJ 07013

Passaic County (973) 417-5256

ALLWOOD PHYSICAL THERAPY, LLC

Physical Therapist

925 CLIFTON AVE, SUITE 106
CLIFTON, NJ 07013

Passaic County (973) 616-7117

CLIFTON FOOT CENTER

Podiatrist (Foot & Ankle Surgery)

925 CLIFTON AVE, STE107
CLIFTON, NJ 07013

Passaic County (973) 472-4700

STANLEY A SZWED MD

Internal Medicine (Cardiovascular Disease)

925 CLIFTON AVE, SUITE #108
CLIFTON, NJ 07013

Passaic County (973) 472-6200

MICHAEL F ARDITO M.D.

Internal Medicine

925 CLIFTON AVE, SUITE 200
CLIFTON, NJ 07013

Passaic County (973) 574-0034

DR. NAOMI JOYCE WEINSHENKER M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

925 CLIFTON AVE, SUITE 103
CLIFTON, NJ 07013

Passaic County (973) 471-4448

JOHN IVAN SUTTER, MD, PA

Pediatrics

925 CLIFTON AVE, SUITE 102
CLIFTON, NJ 07013

Passaic County (973) 778-2083

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 Frank Ruiz's NPI number?

The NPI number for Frank Ruiz is 1417967019. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Frank Ruiz located?

Frank Ruiz practices at 925 Clifton Ave, Clifton, NJ 07013. The listed phone number is (973) 458-0408.

What is Frank Ruiz's specialty?

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

Is Frank Ruiz enrolled in Medicare?

Yes. Frank Ruiz 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 Frank Ruiz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Frank Ruiz 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 Frank Ruiz affiliated with any hospitals?

According to CMS data, Frank Ruiz is affiliated with St Mary's General Hospital.

When was this NPI record last updated?

The NPPES record for Frank Ruiz was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.