Active NPI
Howard M. Ruskin, M.D.
- Neurology Physician
- Plantation, FL
National Provider Identifier
1619957669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME13078
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130005692 | Other | RAILROAD MEDICARE | |
| 051153600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13078 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Associatesmd Medical Group Inc | Current | Accepting new patients | |
| Ruskin-McCormick MDS PA | Neurology | Past | 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.
-
- Family Medicine Physician
- Davie, FL
- NPI 1558900472
-
- Neurology Physician
- Plantation, FL
- NPI 1003878265
-
- Urgent Care Clinic/Center
- Pembroke Pines, FL
- NPI 1073141156
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.