Individual provider Active NPI

Ronnie Gurevich Fine, M.D.

  • Pediatric Urology Physician
  • New York, NY
National Provider Identifier
1750540142
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
247400 Issued in NY
Practice address
445 E 68TH St
Apt 9E
New York, NY 10065-6330
Phone
(917) 538-5971
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 247400 NY
Pediatric Urology Physician 2088P0231X 247400 NY Primary

Addresses

Primary practice location

445 E 68TH St
Apt 9E
New York, NY 10065-6330

Mailing address

445 E 68TH St
Apt 9E
New York, NY 10065-6330
Phone (917) 538-5971

Other identifiers 1

IdentifierTypeStateIssuer
247400OtherNYLICENSE

Other names 1

  • Ronnie Dina Gurevich Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000747 NY Practitioner - Urology 3072757467 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1991 Marcus Ave
Suite 101
New Hyde Park, NY 11042-2058
Phone (516) 365-4949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247400NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Mar 1, 2020 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Aug 22, 2013 Accepting new patients
New York University CurrentSince Nov 1, 2023 Accepting new patients
New York University Pediatric Urology CurrentSince Nov 1, 2023 Accepting new patients
Pediatric Urology Associates of New Jersey, PC Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

1991 Marcus Ave
Ste 305
New Hyde Park, NY 11042

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

150 White Plains Rd
Ste 306
Tarrytown, NY 10591
Phone (914) 493-8628

70 E Sunrise Hwy
Ste 515
Valley Stream, NY 11581
Phone (516) 536-5656

Networks

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

Interoperability endpoints

  • Direct secure messaging: rfine308015@nyumc.direct-ci.com
  • Direct secure messaging: rfine941682@nychhc.direct-ci.com
  • Direct secure messaging: ronnie.fine@pedsurology.eclinicaldirectplus.com

Organizations & group practices 7

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1750540142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E 68TH ST",
            "address_2": "APT 9E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656330",
            "telephone_number": "917-538-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E 68TH ST",
            "address_2": "APT 9E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656330",
            "telephone_number": "917-538-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "RONNIE",
        "middle_name": "GUREVICH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "247400",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NY",
            "license": "247400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "247400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "GUREVICH",
            "middle_name": "DINA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.