George E Ruta, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

145246 Issued in NY

Practice address

33 Gilbert St
Suite 3
Cambridge, NY 12816-2643

Phone

(518) 677-8575

Fax

(518) 677-2580

NPI assigned

Jan 11, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Main Street Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Cambridge, NY
  • NPI 1326058199
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1609855451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BROWNELL HOLLOW RD",
            "city": "EAGLE BRIDGE",
            "state": "NY",
            "postal_code": "120572709",
            "telephone_number": "518-677-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST",
            "address_2": "SUITE 3",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162643",
            "telephone_number": "518-677-8575",
            "fax_number": "518-677-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTA",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "145246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid
• Rite Aid of New York Inc
• Katlyn Robertson, OTR/L
• Bridget O Rowan
• Stephen Rubin, PH.D.
• Azia Jodeci Sayers, FNP
• Raymond J Short, LCSW
• Jeffrey Eric Stark, RPA-C
• Stefan John Stefanovich Jr., PA
• Steve'S Classic Taxi

• Pediatric Adolescent Medicine Physician in Cambridge, NY
• Providers in Cambridge, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.