1083949044 NPI number — RUTHRAY SCHILDINER (MA, CFLE) CAS

Table of content: (NPI 1750345070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083949044 NPI number — RUTHRAY SCHILDINER (MA, CFLE) CAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHILDINER
Provider First Name:
RUTHRAY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
(MA, CFLE) CAS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHILDINER
Provider Other First Name:
RUTH
Provider Other Middle Name:
LOEW
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
(MA, CFLE) CAS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1083949044
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 WEST NORTHFIELD RD
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
LIVINGSTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-422-9799
Provider Business Mailing Address Fax Number:
973-736-3488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 WEST NORTHFIELD RD
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-422-9799
Provider Business Practice Location Address Fax Number:
973-736-3488
Provider Enumeration Date:
10/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  C-1741 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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