Individual provider Active NPI

Klaudiya Ruvinsky, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1649275918
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200233 Issued in NY
Practice address
2829 Ocean Pkwy
Brooklyn, NY 11235-7858
Phone
(718) 616-0500
Fax
(718) 616-0590
NPI assigned
Jun 14, 2005
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200233 NY Primary

Addresses

Primary practice location

2829 Ocean Pkwy
Brooklyn, NY 11235-7858

Mailing address

2829 Ocean Pkwy
Brooklyn, NY 11235-7858
Phone (718) 616-0500

Other identifiers 1

IdentifierTypeStateIssuer
01601330MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200233NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Modern Medical Care PC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

2865 Brighton 3rd St
Brooklyn, NY 11235
Phone (718) 645-1118

9708 Seaview Ave
Brooklyn, NY 11236
Phone (718) 226-4300

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1649275918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357858",
            "telephone_number": "718-616-0500",
            "fax_number": "718-616-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357858",
            "telephone_number": "718-616-0500",
            "fax_number": "718-616-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVINSKY",
        "first_name": "KLAUDIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01601330",
            "state": "NY"
        }
    ],
    "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 Feb 21, 2008; 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.