THOMAS C RUTAN


Address: 90 Bergen St, Suite 7100, Newark, NJ 07103-2425
Phone: 9739722400

THOMAS C RUTAN (NPI# 1871643304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871643304
Entity Type Individual
Full Name THOMAS C RUTAN
Credential RN, APN, C
Practice Address 90 Bergen St
Suite 7100
Newark
NJ 07103-2425
Mailing Address 20 Midsummer Dr
Old Bridge
NJ 08857-2712
Practice Telephone 9739722400
Mailing Telephone 7326070223
Enumeration Date 2007-01-10
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
26NC08521200 NJ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8382905 05

Office Location

Street Address 90 BERGEN ST
SUITE 7100
City NEWARK
State NJ
Zip Code 07103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623074 Karen Virginia Valdez-gonzalez Genetic Counselor, MS 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 2005-10-14
1134758816 Elizabeth Elaine Ginalis Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2020-04-05
1003462854 University Surgical Associates (om) Transplant Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-16
1528614021 Special LLC Plastic Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-12
1265993216 Sean Michael Munier Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-30
1629539861 Ali Tayebi Meybodi Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-29
1497214282 Brandon Khoa Nguyen Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-19
1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
1740716703 Elena Solli Student in an Organized Health Care Education/Training Program 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 2017-05-11
1881120954 Ivo Bach Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417140369 Georgiana Hart Clinical Nurse Specialist 58 Freeman St, Newark, NJ 07105-4005 2007-08-23
1053776419 Bridget Anne Remel Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2015-12-29
1538555008 Heather Panichelli Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2015-04-12
1841559507 Teresa Lynn Panchisin Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 2012-05-15
1538476577 Meriam Loraine Dennie Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 2010-09-13
1891969374 Evelyn Tashjian Ambrose Clinical Nurse Specialist 249 University Ave, Rutgers University Health Services Rm 104, Newark, NJ 07102-1808 2008-04-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003431693 Laurie Susan Stelmaski Clinical Nurse Specialist 1 Cooper Plz Bldg D408s, Camden, NJ 08103-1461 2020-06-10
1831671379 Mercedes Q Tobin Clinical Nurse Specialist 201 Laurel Heights Dr Uppr, Bridgeton, NJ 08302-3635 2018-08-31
1912433210 Elsa R Best Clinical Nurse Specialist 1402 85th St, North Bergen, NJ 07047-4308 2017-05-04
1184017469 Suk-ying Wang Clinical Nurse Specialist 3270 Route 27 Suite 1200, Kendall Park, NJ 08824 2015-03-11
1740620145 Radha Venkataramanan Clinical Nurse Specialist 324 Saint Mary St, Hillsdale, NJ 07642-1649 2013-06-28
1447695044 20 Clair Street Clinical Nurse Specialist 20 Clair St, Clifton, NJ 07013-2618 2013-05-08
1750625208 Jiao Li Clinical Nurse Specialist 8606 Hana Rd, Edison, NJ 08817-2005 2012-11-23
1932452703 Keith Strulowitz Clinical Nurse Specialist 100 Route 46 E Ste 204, Mountain Lakes, NJ 07046-1716 2012-10-18
1790038545 Cynthia Romero Bascara Clinical Nurse Specialist 527 River Ave., Fountainview Care Center, Lakewood, NJ 08701 2012-10-17
1962772665 Elyssa L Thaler Clinical Nurse Specialist 3822 River Road, C/o Miller Devro and Associates, Point Pleasant, NJ 08742-2067 2012-01-11
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Competitor

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City NEWARK
Zip Code 07103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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