Active NPI
Lily Ruan
- Adult Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 304190
- Practice address
- 1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119 - Phone
- (212) 216-6465
- Fax
- (212) 216-6606
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304190 | NY | Primary |
Addresses
Primary practice location
1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119
Mailing address
1 Penn Plaza, 7TH FL. Ste. 725
Evercare
New York, NY 10119
Phone (212) 216-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY, NJ, NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 71.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Medical PC | Current | Accepting new patients | |
| Visavis Health Care Medical Group of NH LLC | Current | Accepting new patients | |
| Visavis Health Care Medical Group of NJ LLC | Current | Accepting new patients | |
| New Concept Rehabilitation Medicine PC | Current | Accepting new patients | |
| Visavis Health Care Medical Group of CT LLC | Current | Accepting new patients | |
| Visavis Health Care Medical Group of Me PLLC | Current | Accepting new patients |
Locations
1 Emily Way
West Hartfrd, CT 06107
Phone (860) 561-7022
300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230
20 Maitland St
Concord, NH 03301
Phone (516) 817-7093
1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016
250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173
831 Bedford Ave
Brooklyn, NY 11205
3923 Fort Hamilton Pkwy
Brooklyn, NY 11218
Phone (718) 314-0999
2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118
1481 McDonald Ave
Fl 2
Brooklyn, NY 11230
7300 State Highway 121
Ste 300
McKinney, TX 75070
Phone (214) 937-0278
7300 State Highway 121
Ste 300374
McKinney, TX 75070
Organizations & group practices 6
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1275717175
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1578973368
-
- Family Medicine Physician
- West Hartford, CT
- NPI 1275225864
-
- Family Medicine Physician
- Westbrook, ME
- NPI 1699556381
-
- Family Medicine Physician
- Concord, NH
- NPI 1881477388
-
- Family Medicine Physician
- Fair Lawn, NJ
- NPI 1881336428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306997291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PENN PLAZA, 7TH FL. STE. 725",
"address_2": "EVERCARE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6465",
"fax_number": "212-216-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PENN PLAZA, 7TH FL. STE. 725",
"address_2": "EVERCARE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10119",
"telephone_number": "212-216-6465",
"fax_number": "212-216-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUAN",
"first_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.