Individual provider Active NPI

Nathan D Wruble, MD

  • Diagnostic Radiology Physician
  • Astoria, NY
National Provider Identifier
1407828775
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
132532 Issued in NY
Practice address
2184 Steinway St
Astoria, NY 11105
Phone
(718) 726-9600
Fax
(718) 726-0808
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 132532 NY Primary
Diagnostic Ultrasound Physician 2085U0001X 132532 NY

Addresses

Primary practice location

2184 Steinway St
Astoria, NY 11105

Mailing address

2184 Steinway St
Astoria, NY 11105
Phone (718) 726-9600

Other identifiers 1

IdentifierTypeStateIssuer
00574098MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000580 NY Practitioner - Diagnostic Radiology 6507929692 Practice locations: Astoria, NY

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2184 Steinway St
Astoria, NY 11105-1805
Phone (718) 726-9600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132532NYMDDiagnostic Ultrasound Physician

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1407828775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-726-9600",
            "fax_number": "718-726-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11105",
            "telephone_number": "718-726-9600",
            "fax_number": "718-726-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRUBLE",
        "first_name": "NATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "132532",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "132532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00574098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.