Individual provider Active NPI

Ruth Chambi Johnson, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1598968612
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244276 Issued in NY
Practice address
425 Madison Ave
Floor 11
New York, NY 10017-1110
Phone
(212) 644-9100
Fax
(212) 644-6116
NPI assigned
Jun 6, 2007
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244276 NY Primary

Addresses

Primary practice location

425 Madison Ave
Floor 11
New York, NY 10017-1110

Mailing address

425 Madison Ave FL 14
New York, NY 10017-1110
Phone (212) 644-9100

Other names 1

  • Dr. Ruth Chambi Johnson Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000047 NY Practitioner - Internal Medicine 1850453614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 Madison Ave
FL 14
New York, NY 10017-1110
Phone (212) 644-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244276NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Diagnostics, P.C. CurrentSince Apr 10, 2011 Accepting new patients

Locations

425 Madison Ave
Fl 11
New York, NY 10017
Phone (212) 227-7310

425 Madison Ave
Fl 14
New York, NY 10017
Phone (212) 644-9100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1598968612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-644-9100",
            "fax_number": "212-644-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "FLOOR 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-644-9100",
            "fax_number": "212-644-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBI JOHNSON",
        "first_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "JOHNSON",
            "middle_name": "CHAMBI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.