Active NPI
Jeremy Jeffery Ruiz
- Massage Therapist
- Bronx, NY
National Provider Identifier
1295589299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 033580
- Practice address
- 1551 Unionport Rd Apt Te
Bronx, NY 10462-7706 - Phone
- (646) 508-0430
- NPI assigned
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT01309900 | NJ | |
| Massage Therapist | 225700000X | 033580 | NY | Primary |
Addresses
Primary practice location
1551 Unionport Rd Apt Te
Bronx, NY 10462-7706
Mailing address
1551 Unionport Rd Apt Te
Bronx, NY 10462-7706
Phone (646) 508-0430
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 |
|---|---|---|---|
| 18KT01309900 | NJ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1295589299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 UNIONPORT RD APT TE",
"city": "BRONX",
"state": "NY",
"postal_code": "104627706",
"telephone_number": "646-508-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 UNIONPORT RD APT TE",
"city": "BRONX",
"state": "NY",
"postal_code": "104627706",
"telephone_number": "646-508-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JEREMY",
"middle_name": "JEFFERY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NJ",
"license": "18KT01309900",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NY",
"license": "033580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.