Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ruth K Dominguez Enriquez, PA

Individual provider Physician Assistant · NPI 1598462228

Ruth K Dominguez Enriquez, PA is a Physician Assistant in Glen Ridge, New Jersey. Qualified in 2022, 4 years ago. Practices with Vanguard Medical Group PA, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 Highland Ave Ste 100B
Glen Ridge, NJ 07028-1521
Phone: (973) 969-3800
Fax: (833) 488-1213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 271 Grove Ave Ste A, Verona, NJ 07044-1731 — (973) 239-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00766000 (NJ)

Record details

NPI number1598462228
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 13, 2023
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vanguard Medical Group Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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