Individual provider Active NPI

Marianne Ruby, MD

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1356433528
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD018446E Issued in PA
Practice address
1015 Chestnut St Ste 601
Suite 601
Philadelphia, PA 19107-4306
Phone
(215) 923-1112
Fax
(215) 923-3344
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X MD018446E PA
Gynecology Physician 207VG0400X MD018446E PA Primary

Addresses

Primary practice location

1015 Chestnut St Ste 601
Suite 601
Philadelphia, PA 19107-4306

Mailing address

1015 Chestnut St Ste 601
Suite 601
Philadelphia, PA 19107-4306
Phone (215) 923-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000632 PA Practitioner - Obstetrics/GynecologyPractitioner - Endocrinology 5597713297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Emory University School of Medicine, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1015 Chestnut St
Suite 601
Philadelphia, PA 19107-4306
Phone (215) 923-1112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Marianne Ruby MD PC Gynecology CurrentSince May 9, 2012 Accepting new patients
Diagnostic Endocrine Associates Past Accepting new patients

Locations

1015 Chestnut St
Ste 601
Philadelphia, PA 19107
Phone (215) 503-2664

834 Chestnut St
Ste T171
Philadelphia, PA 19107
Phone (215) 503-2565

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1356433528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 601",
            "address_2": "SUITE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074306",
            "telephone_number": "215-923-1112",
            "fax_number": "215-923-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 601",
            "address_2": "SUITE 601",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074306",
            "telephone_number": "215-923-1112",
            "fax_number": "215-923-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "PA",
            "license": "MD018446E",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD018446E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.