Individual provider Active NPI

Ruthann Parise, DPM

  • Podiatrist
  • Malverne, NY
National Provider Identifier
1003992041
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005338 Issued in NY
Practice address
484 Hempstead Ave
Malverne, NY 11565-1227
Phone
(516) 593-8585
Fax
(516) 596-1433
NPI assigned
Oct 31, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005338 NY Primary

Addresses

Primary practice location

484 Hempstead Ave
Malverne, NY 11565-1227

Mailing address

484 Hempstead Ave
Malverne, NY 11565-1227
Phone (516) 593-8585

Other identifiers 1

IdentifierTypeStateIssuer
01912821MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070620000175 NY Practitioner - Podiatry 7517066335 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Peredo, MD, PCGroup PAC ID 7416321146, 2 clinicians

Practice addresses (Care Compare)

1047 Park Ave
New York, NY 10028-1002
Phone (212) 754-6363

484 Hempstead Ave
Malverne, NY 11565-1227
Phone (516) 593-8585

594 Vanderbilt Pkwy
Dix Hills, NY 11746-5527

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue45
Removal of skin lesions1-10
Removal of nail tissue47
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005338NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruthann Parise DPM PC CurrentSince Apr 1, 2006 Accepting new patients
Ruthann Parise DPM PC CurrentSince Apr 1, 2006 Accepting new patients
Andrew Peredo, MD, PC CurrentSince Dec 1, 2025 Accepting new patients
Fordham Foot Care Group, PC CurrentSince May 17, 2023 Accepting new patients
Astoria Advanced Footcare Past Accepting new patients
Innovative Footcare P.C Podiatrist Past Accepting new patients
Skinfluence Medical PC Past Accepting new patients

Locations

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

1047 Park Ave
New York, NY 10028
Phone (212) 754-6363

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rparise19800@sbhny.direct-ci.net
  • Direct secure messaging: ruthann.parise.1@18107.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1003992041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HEMPSTEAD AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651227",
            "telephone_number": "516-593-8585",
            "fax_number": "516-596-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 HEMPSTEAD AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651227",
            "telephone_number": "516-593-8585",
            "fax_number": "516-596-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "RUTHANN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

Verify at the official NPI Registry.