Yelizaveta Rukhlova, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F345593-01 Issued in NY

Practice address

100 Colfax Ave Apt 6L
Staten Island, NY 10306-3332

Phone

(347) 462-6666

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Buzz Medical, P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Brooklyn, NY
  • NPI 1417340597
  NPD
• Gordon Schectman Medical, LLC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1942715560
  NPD (past)
• Pharma Holding Inc

  dba Kent Pharmacy

  • Pharmacy
  • Brooklyn, NY
  • NPI 1396153680
  NPD (past)
• Moore Medical Group Inc

  dba CAYA Health

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1871117572
  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1235765132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLFAX AVE APT 6L",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063332",
            "telephone_number": "347-462-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLFAX AVE APT 6L",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063332",
            "telephone_number": "347-462-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKHLOVA",
        "first_name": "YELIZAVETA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "682563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345593-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianni E Ruiz-Santana, MS
• Alicia Ann Ruiz, LCSW
• Jessica L Ruiz
• Remy Ruiz, OT
• Stephanie Ruiz
• Evgenia Rumanov
• Rumc
• Serena Antonia Ruocchio
• Cecille Maria Ruocco, R.N., B.S.N.
• Krystina Maria Ruocco, MS., ED.

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.

Verify at the official NPI Registry.