Edison Ruiz, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

010427 Issued in NY

Practice address

166 E Saint Marks PL
Valley Stream, NY 11580-4440

Phone

(718) 963-8533

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558465138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E SAINT MARKS PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804440",
            "telephone_number": "718-963-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E SAINT MARKS PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804440",
            "telephone_number": "718-963-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "EDISON",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "010427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rso Valley Stream Corporation (Valley Eyes)
• Avi Rubin, DO
• Michele Sofia Rubin, M.D.
• Paul Terry Rubin, D.M.D.
• Laura Faith Rubinfeld, D.O.
• Andre Russell
• Deborah Ruvel, OTR/L
• Samantha Saad
• Carrie Ann Sabato Brill, LCSW
• Sabrina K Sabella-Arce, LMHC

• Obstetrics & Gynecology Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.