Ruby Ezra, A-GNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F308975-1 Issued in NY

Practice address

163 Stuyvesant Dr
Port Jefferson Station, NY 11776-4251

Phone

(631) 342-7514

NPI assigned

Jul 16, 2010

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

67.37

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Trusting Care NP in Adult Health

  • Clinic/Center
  • Mount Sinai, NY
  • NPI 1588539928
  Medicare reassignment NPD Authorized official
• Dinesh Sethi Physician PC

  dba North Suffolk Medicine & Geriatrics

  • Internal Medicine Physician
  • Wyandanch, NY
  • NPI 1326392317
  Medicare reassignment NPD
• East Coast Gastroenterology and Endoscopy PC

  • Gastroenterology Physician
  • Patchogue, NY
  • NPI 1518459569
  Medicare reassignment NPD
• My Medical PC

  • Family Medicine Physician
  • Valley Cottage, NY
  • NPI 1518637891
  Medicare reassignment NPD
• Heavenly Care LLC

  • Primary Care Nurse Practitioner
  • Mount Sinai, NY
  • NPI 1164239844
  NPD Authorized official
• Suffolk Home Care LLC

  • Home Health Agency
  • Shirley, NY
  • NPI 1952943854
  NPD

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1699088898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 STUYVESANT DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764251",
            "telephone_number": "347-596-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 STUYVESANT DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764251",
            "telephone_number": "631-342-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZRA",
        "first_name": "RUBY",
        "name_prefix": "Ms.",
        "credential": "A-GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F308975-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "569398-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osamokpuwa Erhabor
• Thomas P. Erhart, D.O.
• Ernest Leuci LCSW PC
• Noemy Center Espinal
• Victoria Alexa Evans
• Meytal Shtayer Fabrikant, MD
• Fairview Hill Realty Corp (Fairview Pharmacy and Homecare Supply)
• Laura Michele Falk
• Kelly Ann Faller
• Lynne Fallica

• Adult Health Nurse Practitioner in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.