Ivette Ruiz

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

27 George St
East Haven, CT 06512-4722

Phone

(203) 907-9535

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1265908891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GEORGE ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124722",
            "telephone_number": "203-907-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GEORGE ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124722",
            "telephone_number": "203-907-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "IVETTE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Connecticut Inc (Rite Aid Pharmacy 03264)
• Debora Delocco Rivera, RN
• Phyllis Robinson, PTA
• Amanda Elizabeth Rossi, PA-C
• Emily Rozes, PHARMD
• Dalya Amer Sabet, PHARMD
• Jeanne Sakouvogui
• Paula Jean Salerno, P.T.
• Sankofa Counseling LLC
• Jodi L Sapiente, COTA

• Community/Behavioral Health Agency in East Haven, CT
• Providers in East Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.