Individual provider Active NPI

Patricia Pilar Ruiz

  • Specialist
  • Astoria, NY
National Provider Identifier
1437414638
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CN1150864 Issued in NY
Practice address
3711 35TH Ave
3 C & 3G
Astoria, NY 11101-1524
Phone
(718) 706-7500
Fax
(718) 706-9595
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CN1150864 NY Primary

Addresses

Primary practice location

3711 35TH Ave
3 C & 3G
Astoria, NY 11101-1524

Mailing address

3307 83Rd St
Ap. A6
Jackson Heights, NY 11372-1465
Phone (917) 456-7846

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

State licenses

LicenseStateTypeSpecialty
CN1150864NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1437414638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 83RD ST",
            "address_2": "AP. A6",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721465",
            "telephone_number": "917-456-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 35TH AVE",
            "address_2": "3 C & 3G",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111011524",
            "telephone_number": "718-706-7500",
            "fax_number": "718-706-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "PATRICIA",
        "middle_name": "PILAR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "CN1150864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.