Individual provider Active NPI

Maria Cynthia D Ruiz-Delara, M.D.

  • Pediatrics Physician
  • Staten Island, NY
National Provider Identifier
1720012917
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
157592 Issued in NY
Practice address
52 Concord PL
Staten Island, NY 10304-1728
Phone
(718) 448-2049
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 157592 NY Primary

Addresses

Primary practice location

52 Concord PL
Staten Island, NY 10304-1728

Mailing address

52 Concord PL
Staten Island, NY 10304-1728
Phone (718) 448-2049

Other practice location 1

7715 4th Ave
Brooklyn, NY 11209-3439
Phone (718) 833-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000361 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 6901900984

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Emergency Medical Association, PLLC Past Accepting new patients
Richmond University Medical Center Past Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Pediatrics Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720012917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CONCORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041728",
            "telephone_number": "718-448-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CONCORD PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041728",
            "telephone_number": "718-448-2049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7715 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112093439",
            "country_code": "US",
            "telephone_number": "718-833-2300",
            "fax_number": "718-836-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-DELARA",
        "first_name": "MARIA CYNTHIA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "157592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.