Individual provider Active NPI

Ruby John, D.O.

  • Pulmonary Disease Physician
  • Briarwood, NY
National Provider Identifier
1225353030
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
243152-1 Issued in NY
Practice address
14445 87TH Ave
Briarwood, NY 11435-3109
Phone
(718) 480-4026
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 244133 NY
Pulmonary Disease Physician 207RP1001X 243152-1 NY Primary

Addresses

Primary practice location

14445 87TH Ave
Briarwood, NY 11435-3109

Mailing address

24510 Grand Central Pkwy
Apt LG
Bellerose, NY 11426-2744

Other names 1

  • Ruby Varghese Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
243152-1NYMDPulmonary Disease Physician
244133NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aura Pulmonary and Sleep Medicine PLLC Pulmonary Disease Current Accepting new patients

Locations

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1225353030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 GRAND CENTRAL PKWY",
            "address_2": "APT LG",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 87TH AVE",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114353109",
            "telephone_number": "718-480-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "RUBY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "244133",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "243152-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "VARGHESE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Briarwood, NY

Sources for this page

Verify at the official NPI Registry.