Active NPI
Mauro Ledesma Ruffy, MD
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1528047800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 675572
- Practice address
- 142 Joralemon St
Brooklyn, NY 11201 - Phone
- (718) 625-4230
- Fax
- (718) 875-4480
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 675572 | NY | Primary |
| Otolaryngology Physician | 207Y00000X | 112364 | NY |
Addresses
Primary practice location
142 Joralemon St
Brooklyn, NY 11201
Mailing address
142 Joralemon St
Brooklyn, NY 11201
Phone (718) 625-4230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00203392 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040916000952 | NY | Practitioner - Otolaryngology | 4789651852 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1963
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
339 Ocean Pkwy
Brooklyn, NY 11218-4701
Phone (718) 287-0007
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675572 | NY | MD | Obstetrics & Gynecology Physician |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1528047800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JORALEMON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-625-4230",
"fax_number": "718-875-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 JORALEMON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-625-4230",
"fax_number": "718-875-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFY",
"first_name": "MAURO",
"middle_name": "LEDESMA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "675572",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "112364",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00203392",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.