Active NPI
Taslima A Ruma
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1376065763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F341419
- Practice address
- 1624 Crosby Ave
Bronx, NY 10461-5201 - Phone
- (718) 822-2138
- Fax
- (718) 822-6515
- NPI assigned
- Jul 7, 2017
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F341419 | NY | Primary |
Addresses
Primary practice location
1624 Crosby Ave
Bronx, NY 10461-5201
Mailing address
1624 Crosby Ave
Bronx, NY 10461-5201
Phone (718) 822-2138
Other practice location 1
1807 Randall Ave
Bronx, NY 10473-3617
Phone (718) 842-3812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017000325 | Other | NY | ANCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180320001171 | NY | Order and Referring Only - Nurse Practitioner | 8123380755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F341419 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1376065763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 CROSBY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615201",
"telephone_number": "718-822-2138",
"fax_number": "718-822-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 CROSBY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615201",
"telephone_number": "718-822-2138",
"fax_number": "718-822-6515"
}
],
"practiceLocations": [
{
"address_1": "1807 Randall Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104733617",
"country_code": "US",
"telephone_number": "718-842-3812",
"fax_number": "718-822-6515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUMA",
"first_name": "TASLIMA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F341419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2017000325",
"state": "NY"
}
],
"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 Jun 16, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.