Individual provider Active NPI

Mirleivis D Sanchez Ruiz

  • Family Nurse Practitioner
  • Elizabeth, NJ
National Provider Identifier
1073290771
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15043700 Issued in NJ
Practice address
935 Cross Ave
Elizabeth, NJ 07208-3505
Phone
(551) 556-8691
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15043700 NJ Primary

Addresses

Primary practice location

935 Cross Ave
Elizabeth, NJ 07208-3505

Mailing address

935 Cross Ave
Elizabeth, NJ 07208-3505
Phone (551) 556-8691

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260120002143 NJ Practitioner - Nurse Practitioner 0941787196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

180 N 3Rd Ave
Highland Park, NJ 08904-2429

222 Schanck Rd
Suite 203
Freehold, NJ 07728-2974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15043700NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sudhir M Parikh M D P a CurrentSince Dec 1, 2025 Accepting new patients

Locations

18 N 3rd Ave
Highland Park, NJ 08904
Phone (732) 545-0094

617 79th St
North Bergen, NJ 07047
Phone (201) 854-8119

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1073290771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CROSS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083505",
            "telephone_number": "551-556-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CROSS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083505",
            "telephone_number": "551-556-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ RUIZ",
        "first_name": "MIRLEIVIS",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15043700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.