Active NPI
Jonathan Ruan, MD PC
- Obstetrics & Gynecology Physician
- Binghamton, NY
National Provider Identifier
1477722015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 129202
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00421449 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Plattsburgh, NY
- NPI 1083608665
Obstetrics & Gynecology
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.