Individual provider Active NPI

Juliette Ruvinov, FNP

  • Family Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1538740964
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347358-01 Issued in NY
Practice address
4 W Red Oak LN Ste 310a
White Plains, NY 10604-3603
Phone
(914) 719-6079
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F347358-01 NY Primary

Addresses

Primary practice location

4 W Red Oak LN Ste 310a
White Plains, NY 10604-3603

Mailing address

4 W Red Oak LN Ste 310a
White Plains, NY 10604-3603
Phone (914) 719-6079

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251227000564 NY Practitioner - Nurse Practitioner 8325534415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1640 Ocean Ave Apt
2N
Brooklyn, NY 11230-4916

2660 Batchelder St
FL 2
Brooklyn, NY 11235-1602

596 Prospect PL
Brooklyn, NY 11238-4205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F347358-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Team Care Medical PLLC CurrentSince Oct 19, 2025 Accepting new patients

Locations

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1538740964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W RED OAK LN STE 310A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043603",
            "telephone_number": "914-719-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W RED OAK LN STE 310A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043603",
            "telephone_number": "914-719-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVINOV",
        "first_name": "JULIETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347358-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.