Cory Ruddy-Ramirez, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

278575 Issued in NY

Practice address

966 Prospect Ave
Bronx, NY 10459-3270

Phone

(718) 299-1100

NPI assigned

Jun 20, 2012

Last updated

Jun 30, 2015By 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 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Kansas City College of Medicine and Surgery, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Community Health Center IncGroup PAC ID 4486545266, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: cory.ruddy-ramirez.1@18107.direct.athenahealth.com
• Direct secure messaging: cruddyramirez21132@sbhny.direct-ci.net

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.

• Union Community Health Center, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1437255155
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1538422944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593270",
            "telephone_number": "718-299-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PROSPECT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593270",
            "telephone_number": "718-299-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY-RAMIREZ",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "278575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Rubio
• Violetta Helena Rucinski-Fiorica, DO
• Lisa Rucker
• Marcia R Rucker, LPN
• Jacinth S. Ruddock, M.D.
• Samantha Catherine Ruddy, M.D.
• Sonali Ruder, D.O.
• Doreen Ruderman
• Donald Rudikoff, MD
• Molly Rudinger, LCSW

• Family Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.

Verify at the official NPI Registry.