Organization Active NPI

East Coast Gynecology PC

  • Gynecology Physician
  • Merrick, NY
National Provider Identifier
1639887755
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
EAST COAST GYNECOLOGY PC
Practice address
2276 Merrick Ave
Merrick, NY 11566-4342
Phone
(516) 712-6565
Fax
(516) 217-4049
NPI assigned
Nov 8, 2022
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Dr. Kerry Rut, D.O.NPI 1831413368
Title
Owner/President
Phone
(516) 712-6565

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

2276 Merrick Ave
Merrick, NY 11566-4342

Mailing address

2276 Merrick Ave
Merrick, NY 11566-4342
Phone (516) 712-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260122001247 NY Part B Supplier - Clinic/Group Practice 9638656515 Receives reassigned benefits from 1 practitioner
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1639887755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2276 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664342",
            "telephone_number": "516-712-6565",
            "fax_number": "516-217-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "RUT",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-712-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.