Individual provider Active NPI

Ruth Bochat, FNP-BC

  • Family Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1124618228
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346694-01 Issued in NY
Practice address
1 Jarvin Rd
Port Jefferson Station, NY 11776-1311
Phone
(929) 429-6861
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 F346694-01 NY Primary

Addresses

Primary practice location

1 Jarvin Rd
Port Jefferson Station, NY 11776-1311

Mailing address

1 Jarvin Rd
Port Jefferson Station, NY 11776-1311
Phone (929) 429-6861

Other names 1

  • Ruth Gutierrez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210816002366 NY Practitioner - Pain Management 3678978590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nitin Mariwalla MD PLLCGroup PAC ID 0941692495, 12 clinicians

Practice addresses (Care Compare)

1175 Montauk Hwy
Suite 3
West Islip, NY 11795-4939
Phone (631) 500-9400

1175 Montauk Hwy 3
West Islip, NY 11795-4939

160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 531-9400

680 Route 112
Suite C
Patchogue, NY 11772-1344
Phone (631) 500-9400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F346694-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Physician Associates, PLLC CurrentSince Aug 9, 2021 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Dec 1, 2022 Accepting new patients
Nitin Mariwalla MD PLLC CurrentSince Sep 13, 2024 Accepting new patients

Locations

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

70 N Country Rd
Ste 203
Prt Jefferson, NY 11777
Phone (631) 744-3611

333 Route 25A
Ste 225
Rocky Point, NY 11778
Phone (631) 503-1400

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

1145 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-0033

1175 Montauk Hwy
Ste 3
West Islip, NY 11795
Phone (631) 433-1159

Interoperability endpoints

  • Direct secure messaging: rbochat133893@direct-chsli.net

Organizations & group practices 3

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1124618228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARVIN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761311",
            "telephone_number": "929-429-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARVIN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761311",
            "telephone_number": "929-429-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHAT",
        "first_name": "RUTH",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346694-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "GUTIERREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.