Active NPI
Ruth Renee Adams
- Community Health Worker
- Maspeth, NY
National Provider Identifier
1275773442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 266484081
- Practice address
- 6160 56TH St
Maspeth, NY 11378-3530 - Phone
- (347) 529-5191
- NPI assigned
- Mar 2, 2009
- Last updated
- Mar 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 266484081 | NY | Primary |
Addresses
Primary practice location
6160 56TH St
Maspeth, NY 11378-3530
Mailing address
61-60 56TH Street
Maspeth, NY 11378
Phone (347) 529-5191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BBQQW86A | Other | NY | AETNA HEALTHCARE |
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 |
|---|---|---|---|
| 266484081 | NY | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235952000000",
"number": "1275773442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61-60 56TH STREET",
"city": "MASPETH",
"state": "NY",
"postal_code": "11378",
"telephone_number": "347-529-5191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6160 56TH ST",
"city": "MASPETH",
"state": "NY",
"postal_code": "113783530",
"telephone_number": "347-529-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "RUTH",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-02",
"last_updated": "2009-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "266484081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTHCARE",
"identifier": "BBQQW86A",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.