Manashir Ruvinov

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F352190-01 Issued in NY

Practice address

331 Kings Hwy Ste a
Brooklyn, NY 11223-1443

Phone

(646) 995-9999

NPI assigned

Mar 3, 2021

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manashir Ruvinov Family Health NP PC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1629854492
  NPD Authorized official
• Darya Olekhnovich PC

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1861287799
  NPD

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1356936108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CONEY ISLAND AVE",
            "address_2": "PMB 1000",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301116",
            "telephone_number": "917-545-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KINGS HWY STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231443",
            "telephone_number": "646-995-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVINOV",
        "first_name": "MANASHIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352190-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rutledge Pediatrics
• Rutledge Pediatrics PLLC
• William Caleb Rutledge
• Dana Rutyna, P.A.
• Adam Rutz, MD
• Rodion Ruvinov
• Roger Ruvinov, FNP
• Zoya Ruvinov
• Diana Ruvinova, MSED
• Lubov Ruvinova

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.