Individual provider Active NPI

Howard M. Ruskin, M.D.

  • Neurology Physician
  • Plantation, FL
National Provider Identifier
1619957669
Registry record updated Aug 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME13078 Issued in FL
Practice address
350 NW 84TH Ave
Suite 109
Plantation, FL 33324-1817
Phone
(954) 424-9444
Fax
(954) 424-7702
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME13078 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave
Suite 109
Plantation, FL 33324-1817

Mailing address

350 NW 84TH Ave
Suite 109
Plantation, FL 33324-1817
Phone (954) 424-9444

Other identifiers 2

IdentifierTypeStateIssuer
130005692OtherRAILROAD MEDICARE
051153600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100925000078 FL Practitioner - Neurology 8921185430 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME13078FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Ruskin-McCormick MDS PA Neurology PastSince Feb 8, 1975 Accepting new patients

Locations

4780 SW 64th Ave
Ste 101
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

350 NW 84th Ave
Ste 109
Plantation, FL 33324
Phone (954) 424-9444

Organizations & group practices 3

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217635200000",
    "number": "1619957669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-424-9444",
            "fax_number": "954-424-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-424-9444",
            "fax_number": "954-424-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSKIN",
        "first_name": "HOWARD",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2008-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME13078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130005692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051153600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.