RUKAIYAH FERGUSON FNP
NPI 1780089219
Nurse Practitioner - Family in Newark, NJ
About Rukaiyah Ferguson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUKAIYAH FERGUSON FNP (NPI 1780089219) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ00528600) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newark.
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 (PECOS)
Rukaiyah Ferguson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Rukaiyah Ferguson's NPI number?
The NPI number for Rukaiyah Ferguson is 1780089219. It was assigned to this individual provider in the NPPES registry on October 27, 2014.
Where is Rukaiyah Ferguson located?
Rukaiyah Ferguson practices at 166 Lyons Ave Fl 1, Newark, NJ 07112. The listed phone number is (973) 926-7428.
What is Rukaiyah Ferguson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rukaiyah Ferguson enrolled in Medicare?
Yes. Rukaiyah Ferguson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rukaiyah Ferguson was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Rukaiyah Ferguson, FNP · NPI 1780089219
Family physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since October 27, 2014.
## Identity
- **NPI:** 1780089219 (Entity type: Individual)
- **Enumerated:** October 27, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00528600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 166 LYONS AVE FL 1, Newark, NJ 07112-2016
- **Phone:** (973) 926-7428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780089219) · Data from the CMS NPPES public registry.