Active NPI
Peter Ruzohorsky, M.D.
- Pediatric Adolescent Medicine Physician
- Brooklyn, NY
National Provider Identifier
1285701896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 130916
- Practice address
- 100 Ross St
Brooklyn, NY 11211-7672 - Phone
- (718) 387-7628
- Fax
- (718) 387-0780
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 130916 | NY | Primary |
Addresses
Primary practice location
100 Ross St
Brooklyn, NY 11211-7672
Mailing address
100 Ross St
Brooklyn, NY 11211-7672
Phone (718) 387-7628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257965 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130916 | NY | MD | Pediatric Adolescent Medicine Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285701896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ROSS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117672",
"telephone_number": "718-387-7628",
"fax_number": "718-387-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ROSS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112117672",
"telephone_number": "718-387-7628",
"fax_number": "718-387-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZOHORSKY",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "130916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257965",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.