Active NPI
Jasen Albert Ruiz, SC.D.
- Audiologist-Hearing Aid Fitter
- Scarsdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 57 002140
- Practice address
- 111 Brook St
Scarsdale, NY 10583-5143 - Phone
- (914) 395-3277
- Fax
- (914) 395-3270
- NPI assigned
- Aug 27, 2008
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 57 002140 | NY | Primary |
Addresses
Primary practice location
111 Brook St
Scarsdale, NY 10583-5143
Mailing address
111 Brook St
Scarsdale, NY 10583-5143
Phone (914) 395-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 Brook St
Scarsdale, NY 10583-5143
Phone (347) 397-7563
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002140 | NY | MD | Music Therapist |
| 57 002140 | NY | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Audiology of Ny PC | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Advanced Audiology of Ny II PC | Past | Accepting new patients |
Locations
400 Aaron Ct
Kingston, NY 12401
Phone (845) 443-3365
390 Crystal Run Rd
Ste 105
Middletown, NY 10941
Phone (845) 703-5523
488 Freedom Plains Rd
Ste 144
Poughkeepsie, NY 12603
Phone (845) 452-7975
111 Brook St
Scarsdale, NY 10583
Phone (347) 397-7563
111 Brook St
Ste 204
Scarsdale, NY 10583
115 Main St
Ste A
Tuckahoe, NY 10707
Phone (914) 395-3277
Organizations & group practices 2
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.
-
- Audiologist-Hearing Aid Fitter
- Tuckahoe, NY
- NPI 1588960652
-
- Hearing Aid Equipment
- Nanuet, NY
- NPI 1760934954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1467609990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BROOK ST",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835143",
"telephone_number": "914-395-3277",
"fax_number": "914-395-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BROOK ST",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105835143",
"telephone_number": "914-395-3277",
"fax_number": "914-395-3270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JASEN",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "SC.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "57 002140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.