Organization Active NPI

Manashir Ruvinov Family Health NP PC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1629854492
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MANASHIR RUVINOV FAMILY HEALTH NP PC
Practice address
331 Kings Hwy Ste a
Brooklyn, NY 11223-1443
Phone
(646) 995-9999
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Manashir Ruvinov, FNPNPI 1356936108
Title
President
Phone
(917) 545-2292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

331 Kings Hwy Ste a
Brooklyn, NY 11223-1443

Mailing address

1375 Coney Island Ave
Brooklyn, NY 11230-4166
Phone (917) 545-2292

National Provider Directory

National Provider Directory

Locations

331 Kings Hwy
Ste A
Brooklyn, NY 11223
Phone (646) 995-9999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1629854492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304166",
            "telephone_number": "917-545-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 KINGS HWY STE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231443",
            "telephone_number": "646-995-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANASHIR RUVINOV FAMILY HEALTH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "RUVINOV",
        "authorized_official_first_name": "MANASHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-545-2292",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.