RUTH K DOMINGUEZ ENRIQUEZ PA
NPI 1598462228
Physician Assistant in Glen Ridge, NJ
About Ruth K Dominguez Enriquez Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUTH K DOMINGUEZ ENRIQUEZ PA (NPI 1598462228) is an individual physician assistant in Glen Ridge, New Jersey, licensed in New Jersey (25MP00766000) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Verona, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ruth K Dominguez Enriquez Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLEN RIDGE, NJ 07028
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 Ruth Dominguez Enriquez's NPI number?
The NPI number for Ruth Dominguez Enriquez is 1598462228. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Ruth Dominguez Enriquez located?
Ruth Dominguez Enriquez practices at 200 Highland Ave Ste 100B, Glen Ridge, NJ 07028. The listed phone number is (973) 969-3800.
What is Ruth Dominguez Enriquez's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ruth Dominguez Enriquez enrolled in Medicare?
Yes. Ruth Dominguez Enriquez 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.
When was this NPI record last updated?
The NPPES record for Ruth Dominguez Enriquez was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Ruth K Dominguez Enriquez, PA · NPI 1598462228
Physician Assistant physician in Glen Ridge, New Jersey. Individual provider, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1598462228 (Entity type: Individual)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 25MP00766000 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 HIGHLAND AVE STE 100B, Glen Ridge, NJ 07028-1521
- **Phone:** (973) 969-3800 · **Fax:** (833) 488-1213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1598462228) · Data from the CMS NPPES public registry.