RUTH BOSSE – Surgical Physician Assistant, NPI 1669843371

RUTH BOSSE is a healthcare provider. based in Edison, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold a License No. 019210 (NY). The NPI Number for RUTH BOSSE is 1669843371

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
RUTH BOSSE
NPI
1669843371
Phone
(646) 680-2888
Address
2177 OAK TREE RD
Enumeration Date
8 October 2015
Last Update Date
4 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7186163000
Graduation Year
2015 (11 years ago)
PAC ID
7719288224
Group Practice PAC ID
4183535305
Professional Enrollment ID
I20151228001799
Address ID
NY112357745BR2601XPKWY306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

13,243 PHYSICIAN ASSISTANT in NY

Provider Addresses for RUTH BOSSE

  • 2177 OAK TREE RD

    STE 210

    EDISON, NJ 088201090

    Phone: (646) 680-2888

    Fax: (516) 542-5556

    Type: Mailing

  • 546 EASTERN PKWY

    BROOKLYN, NY 112251604

    Phone: (718) 604-4800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151228001799IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 08820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183535305View full group profile
NameSpecialtyState
Internal MedicineNY
Orthopedic SurgeryNY
Physician AssistantNY
Physician AssistantNY
-NY
-NY
P A T H O L O G YNY
Diagnostic RadiologyNY
P O D I A T R YNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What number should I use to identify RUTH BOSSE for billing?
Administrative and clinical systems typically use NPI 1669843371 for RUTH BOSSE.
Is RUTH BOSSE currently accepting referrals based on NPI status?
Registry metadata lists RUTH BOSSE as active.
Which specialty label fits RUTH BOSSE?
NPPES ties RUTH BOSSE to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RUTH BOSSE?
RUTH BOSSE is associated with Edison, New Jersey in the same public data insurers reference.
Can I export RUTH BOSSE's record?
You can download the official NPPES record; we summarize key fields for readability.

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