Active NPI
G Ruyack
- Recreation Therapist
- Montrose, NY
National Provider Identifier
1265626485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 54060
- Practice address
- 2094 Albany Post Road RT 9a
Montrose, NY 10548-0100 - Phone
- (914) 737-4400
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 54060 | NY | Primary |
Addresses
Primary practice location
2094 Albany Post Road RT 9a
Montrose, NY 10548-0100
Mailing address
82 Scott Dr
Wappingers Falls, NY 12590-4830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54060 | NY | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Vamc | Past | 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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Montrose, NY
- NPI 1063460798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1265626485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 SCOTT DR",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 ALBANY POST ROAD RT 9A",
"city": "MONTROSE",
"state": "NY",
"postal_code": "105480100",
"telephone_number": "914-737-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUYACK",
"first_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "54060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.