Individual provider Active NPI

Avigayil Ruth Luchansky, PA-C

  • Physician Assistant
  • Pikesville, MD
National Provider Identifier
1376313668
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010662 Issued in MD
Practice address
31 Walker Ave
Pikesville, MD 21208-4022
Phone
(410) 415-3515
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010662 MD Primary

Addresses

Primary practice location

31 Walker Ave
Pikesville, MD 21208-4022

Mailing address

3501 Clarks Lane
Apt C1
Baltimore, MD 21215-2500
Phone (973) 883-5367

Other names 1

  • Ms. Avigayil Ruth Bloom Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1376313668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CLARKS LANE",
            "address_2": "APT C1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152500",
            "telephone_number": "973-883-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WALKER AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084022",
            "telephone_number": "410-415-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCHANSKY",
        "first_name": "AVIGAYIL",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVIGAYIL",
            "last_name": "BLOOM",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.