Provider Demographics
NPI:1346033396
Name:RUHL, JONATHAN SLOAN
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:SLOAN
Last Name:RUHL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 CREST RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2437
Mailing Address - Country:US
Mailing Address - Phone:201-914-4064
Mailing Address - Fax:
Practice Address - Street 1:322 CREST RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2437
Practice Address - Country:US
Practice Address - Phone:201-914-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant