Active NPI
Ruslana Shargorodskaya, NP
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 307593
- Practice address
- 710 W 168TH St
New York, NY 10032-3726 - Phone
- (212) 305-0376
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 26NJ01200000 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 307593 | NY | Primary |
Addresses
Primary practice location
710 W 168TH St
New York, NY 10032-3726
Mailing address
710 W 168TH St
New York, NY 10032-3726
Phone (212) 305-0376
Other practice location 1
28 Valley Rd Ofc 229
Montclair, NJ 07042-2709
Phone (888) 553-2823
Other practice location 2
169 Madison Ave Ste 2817
New York, NY 10016-5101
Phone (888) 553-2823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307593 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
500 Grand Ave
Fl 1
Englewood, NJ 07631
Phone (201) 227-1760
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
30 Prospect Ave
#1
Hackensack, NJ 07601
Phone (551) 996-2111
28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652
710 W 168th St
New York, NY 10032
Phone (212) 305-0217
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
710 W 168th St
Ste 425
New York, NY 10032
Phone (212) 305-1090
630 W 168th St
#4
New York, NY 10032
Phone (212) 305-6387
169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931
169 Madison Ave
Ste 2829
New York, NY 10016
630 W 168th St
New York, NY 10032
Phone (212) 305-1948
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
Interoperability endpoints
- ras7021@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1760731459
-
- Internal Medicine Physician
- New York, NY
- NPI 1437176047
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Internal Medicine Physician
- Montclair, NJ
- NPI 1659974301
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Ridgewood, NJ
- NPI 1144459991
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Cardiovascular Disease Physician
- Teaneck, NJ
- NPI 1417188905
-
- Internal Medicine Physician
- New York, NY
- NPI 1891319810
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Internal Medicine Physician
- New York, NY
- NPI 1861907321
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1184202822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1013301589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W 168TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323726",
"telephone_number": "212-305-0376"
}
],
"practiceLocations": [
{
"address_1": "28 Valley Rd Ofc 229",
"address_purpose": "LOCATION",
"city": "Montclair",
"state": "NJ",
"postal_code": "070422709",
"country_code": "US",
"telephone_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Madison Ave Ste 2817",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100165101",
"country_code": "US",
"telephone_number": "888-553-2823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARGORODSKAYA",
"first_name": "RUSLANA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NJ01200000",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "307593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.