Organization Active NPI

Jonathan Ruan, MD PC

  • Obstetrics & Gynecology Physician
  • Binghamton, NY
National Provider Identifier
1477722015
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
129202 Issued in NY
Legal business name
JONATHAN RUAN, MD PC
Practice address
112 Murray St
Binghamton, NY 13905-3707
Phone
(607) 772-8815
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Jonathan Ruan, M.D.
Title
Owner
Phone
(607) 772-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 129202 NY Primary

Addresses

Primary practice location

112 Murray St
Binghamton, NY 13905-3707

Mailing address

112 Murray St
Binghamton, NY 13905-3707
Phone (607) 772-8815

Other identifiers 1

IdentifierTypeStateIssuer
00421449MedicaidNY

National Provider Directory

National Provider Directory

Locations

112 Murray St
Binghamton, NY 13905
Phone (607) 772-8811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1477722015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MURRAY ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053707",
            "telephone_number": "607-772-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MURRAY ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139053707",
            "telephone_number": "607-772-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN RUAN, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "RUAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-772-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "129202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00421449",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.