Individual provider Active NPI

Ruth E Knecht, NP

  • Gerontology Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1083731590
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F340391-1 Issued in NY
Practice address
6300 8TH Ave
Department of Radiation Oncology
Brooklyn, NY 11220-4718
Phone
(718) 765-2721
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340391-1 NY Primary

Addresses

Primary practice location

6300 8TH Ave
Department of Radiation Oncology
Brooklyn, NY 11220-4718

Mailing address

8611 151St Ave
Apt. 6a
Howard Beach, NY 11414-1342
Phone (718) 848-0243

Other identifiers 1

IdentifierTypeStateIssuer
03158665MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340391-1NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1083731590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8611 151ST AVE",
            "address_2": "APT. 6A",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141342",
            "telephone_number": "718-848-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 8TH AVE",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204718",
            "telephone_number": "718-765-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNECHT",
        "first_name": "RUTH",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340391-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.