Roger Ruvinov, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

352382 Issued in NY

Practice address

3000 Ocean Pkwy
Brooklyn, NY 11235-8374

Phone

(718) 314-3388

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• RR NP in Family Health P.C.

  • Nurse Practitioner
  • Brooklyn, NY
  • NPI 1275473498
  Authorized official Same address or phone

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1508644956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 AVENUE P APT 5C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291143",
            "telephone_number": "718-314-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358374",
            "telephone_number": "718-314-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Humboldt St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112112898",
            "country_code": "US",
            "telephone_number": "718-635-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Avenue P Apt 5C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291143",
            "country_code": "US",
            "telephone_number": "718-314-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVINOV",
        "first_name": "ROGER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Caleb Rutledge
• Dana Rutyna, P.A.
• Adam Rutz, MD
• Manashir Ruvinov
• Rodion Ruvinov
• Zoya Ruvinov
• Diana Ruvinova, MSED
• Lubov Ruvinova
• Valentina Ruvinova, OT
• Amanda Ruvinsky, PHARMD

• Family Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.