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DR RUBY J SAMPSON INC NPI 1922316090


NPI Information

NPI: 1922316090
Provider Name: DR RUBY J SAMPSON INC

Other Name: RUBY J SAMPSON MD, INC

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 31D0867360

Address:
106 VALLEY ST
1ST FLOOR
SOUTH ORANGE, NJ
ZIP 07079
Phone: (973) 313-9300
Get Directions

DR RUBY J SAMPSON INC is a gastroenterology internal medicine in South Orange, NJ. The provider is 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. DR RUBY J SAMPSON INC NPI is 1922316090. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ruby J Sampson Md, Inc.

The provider's business location address is:

106 VALLEY ST
1ST FLOOR
SOUTH ORANGE, NJ
ZIP 07079-886
Phone: (973) 313-9300
Fax: (973) 313-2313

The provider's authorized official is Anjela Hayes .
The authorized official title is Office Manager and has the following contact phone number (973) 313-9300.

The CLIA number assigned to this NPI record is 31D0867360 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2010 and was last updated on 9/22/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology45315NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13357805MEDICAIDNEW JERSEY
2D06779MEDICARE UPIN
3SA520370MEDICARE PINNEW JERSEY
4=========OTHERTIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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