Active NPI
Jennifer M. Ruh, MD, PC
- Family Medicine Physician
- Orchard Park, NY
National Provider Identifier
1063986255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JENNIFER M. RUH, MD, PC
- Practice address
- 3725 N Buffalo Rd.
Orchard Park, NY 14127-1853 - Phone
- (716) 508-4040
- Fax
- (716) 508-8038
- NPI assigned
- Jan 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer M Ruh, MD
- Title
- Owner
- Phone
- (716) 508-4040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3725 N Buffalo Rd.
Orchard Park, NY 14127-1853
Mailing address
3725 N Buffalo Rd.
Orchard Park, NY 14127-1853
Phone (716) 508-4040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2173074 | Jennifer M Ruh MD PC | Certificate of waiver | Oct 3, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Orchard Park, NY
- NPI 1891714028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548633600000",
"number": "1063986255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 N BUFFALO RD.",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271853",
"telephone_number": "716-508-4040",
"fax_number": "716-508-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 N BUFFALO RD.",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271853",
"telephone_number": "716-508-4040",
"fax_number": "716-508-8038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER M. RUH, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-28",
"status": "A",
"authorized_official_last_name": "RUH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-508-4040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.