Individual provider Active NPI

Liliana Gamez Ruiz

  • Renal Dialysis Technician
  • Amityville, NY
National Provider Identifier
1124788245
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Dialysis TechnicianTaxonomy code 2472R0900X
Practice address
6 N Spruce LN
Amityville, NY 11701-1505
Phone
(631) 452-3947
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 2472R0900X Primary

Addresses

Primary practice location

6 N Spruce LN
Amityville, NY 11701-1505

Mailing address

6 N Spruce LN
Amityville, NY 11701-1505

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ahavahcare@aol.com

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

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1124788245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N SPRUCE LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N SPRUCE LN",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011505",
            "telephone_number": "631-452-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMEZ RUIZ",
        "first_name": "LILIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ahavahcare@aol.com",
            "affiliation": "N",
            "address_1": "6 N Spruce Ln",
            "city": "Amityville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117011505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.