Individual provider Active NPI

Raymond Michael Ruszkowski, D.C.

  • Chiropractor
  • Homestead, FL
National Provider Identifier
1164526372
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8062 Issued in FL
Practice address
692 N Homestead Blvd Ste 104
Homestead, FL 33030-6237
Phone
(305) 242-6665
Fax
(305) 242-6919
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8062 FL Primary

Addresses

Primary practice location

692 N Homestead Blvd Ste 104
Homestead, FL 33030-6237

Mailing address

692 N Homestead Blvd Ste 104
Homestead, FL 33030-6237
Phone (305) 242-6665

Other identifiers 1

IdentifierTypeStateIssuer
382025400MedicaidFL

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spine Center of Homestead, Inc Chiropractor PastSince Jun 22, 2006 Accepting new patients

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1164526372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 N HOMESTEAD BLVD STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306237",
            "telephone_number": "305-242-6665",
            "fax_number": "305-242-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 N HOMESTEAD BLVD STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306237",
            "telephone_number": "305-242-6665",
            "fax_number": "305-242-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZKOWSKI",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382025400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.