Active NPI
Ruby John, D.O.
- Pulmonary Disease Physician
- Briarwood, NY
National Provider Identifier
1225353030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 243152-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243152-1 | NY | MD | Pulmonary Disease Physician |
| 244133 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pulmonary Disease Physician
- Briarwood, NY
- NPI 1356284806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.