Organization Active NPI

Ruby Family Healthcare

  • Primary Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1184855116
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
238056 Issued in NY
Legal business name
RUBY FAMILY HEALTHCARE
Practice address
131 Rome Ave
Staten Island, NY 10304-3149
Phone
(718) 439-5440
Fax
(718) 989-9282
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Maung Tint Wai, M.D.NPI 1750319190
Title
Director
Phone
(718) 439-5440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 238056 NY Primary

Addresses

Primary practice location

131 Rome Ave
Staten Island, NY 10304-3149

Mailing address

131 Rome Ave
Staten Island, NY 10304-3149
Phone (718) 876-0248

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1184855116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043149",
            "telephone_number": "718-876-0248",
            "fax_number": "718-989-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 ROME AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043149",
            "telephone_number": "718-439-5440",
            "fax_number": "718-989-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "WAI",
        "authorized_official_first_name": "MAUNG",
        "authorized_official_middle_name": "TINT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-439-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "238056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.