Organization Active NPI

Family Health NP Immediate Care, PLLC

  • Nurse Practitioner
  • Ontario, NY
National Provider Identifier
1104396274
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FAMILY HEALTH NP IMMEDIATE CARE, PLLC
Practice address
6280 Furnace Road
Ontario, NY 14519
Phone
(315) 791-0050
NPI assigned
Nov 30, 2018
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Denise H. Ruiz, F.N.P.NPI 1164771952
Title
Member
Phone
(585) 831-9428

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6280 Furnace Road
Ontario, NY 14519

Mailing address

6280 Furnace Road
Ontario, NY 14519
Phone (315) 791-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002000315 NY Part B Supplier - Clinic/Group Practice 5193179786 Receives reassigned benefits from 7 practitioners
Practice locations: Ontario, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2178517Family Health NP Immediate Care PLLC6280 Furnace Rd Ste 600, Ontario, NY 14519Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

6280 Furnace Rd
Ontario, NY 14519
Phone (315) 791-0050

6280 Furnace Rd
Ste 600
Ontario, NY 14519
Phone (315) 791-0050

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1104396274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 FURNACE ROAD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "315-791-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 FURNACE ROAD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "315-791-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH NP IMMEDIATE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-831-9428",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.

Verify at the official NPI Registry.