Individual provider Active NPI

Ruth Pallapati, DDS

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1508242603
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058978 Issued in NY
Practice address
14 Culver St
Yonkers, NY 10705-2201
Phone
(804) 426-7042
NPI assigned
Jul 31, 2015
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 058978 NY Primary

Addresses

Primary practice location

14 Culver St
Yonkers, NY 10705-2201

Mailing address

1159 Yonkers Ave Apt 4B
Yonkers, NY 10704-3256
Phone (804) 426-7042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708001438 NY Practitioner - Dentist 3577898972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058978NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince May 22, 2019 Accepting new patients
The Institute for Family Health CurrentSince May 22, 2019 Accepting new patients

Locations

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1508242603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 YONKERS AVE APT 4B",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043256",
            "telephone_number": "804-426-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CULVER ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052201",
            "telephone_number": "804-426-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLAPATI",
        "first_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.