Organization Active NPI

Mikhail Ruvinsky DDS, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1487969937
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
051307 Issued in NY
Legal business name
MIKHAIL RUVINSKY DDS, PC
Practice address
2973 Ocean Ave
Brooklyn, NY 11235-3201
Phone
(718) 332-0300
Fax
(718) 332-0302
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Dr. Mikhail Ruvinsky, MD, DDS, RPH
Title
Owner
Phone
(718) 332-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 051307 NY Primary

Addresses

Primary practice location

2973 Ocean Ave
Brooklyn, NY 11235-3201

Mailing address

2973 Ocean Ave
Brooklyn, NY 11235-3201
Phone (718) 332-0300

Other identifiers 1

IdentifierTypeStateIssuer
03216671MedicaidNY

Other names 1

  • NY Institute of Oral and Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1487969937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2973 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353201",
            "telephone_number": "718-332-0300",
            "fax_number": "718-332-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2973 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353201",
            "telephone_number": "718-332-0300",
            "fax_number": "718-332-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL RUVINSKY DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "RUVINSKY",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-332-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS, RPH"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03216671",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY Institute of Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.