Active NPI
Ruby Gardner, DPM
- Foot & Ankle Surgery Podiatrist
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N007041
- Practice address
- 24 N Clover Dr
Great Neck, NY 11021-1038 - Phone
- (310) 801-7893
- NPI assigned
- May 16, 2017
- Last updated
- Jan 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Podiatrist | 213E00000X | N007041 | NY | |
| Public Medicine Podiatrist | 213EP0504X | N007041 | NY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N007041 | NY | |
| Radiology Podiatrist | 213ER0200X | N007041 | NY | |
| Sports Medicine Podiatrist | 213ES0000X | N007041 | NY | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007041 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | N007041 | NY |
Addresses
Primary practice location
24 N Clover Dr
Great Neck, NY 11021-1038
Mailing address
24 N Clover Dr
Great Neck, NY 11021-1038
Phone (310) 801-7893
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1129 Northern Blvd
Suite 101
Manhasset, NY 11030-3022
Phone (516) 407-2727
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2281
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.37
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 57.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 27 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 437 |
| Removal or shaving of skin growth | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007041 | NY | MD | Sports Medicine Podiatrist |
| 007041 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prine Health Medical Group, PLLC | Current | Accepting new patients | |
| Parker Jewish Institute for Health Care and Rehabilitation | Current | Accepting new patients | |
| Prine Health Medical Group, PLLC | Podiatrist | Current | Accepting new patients |
| Parker Jewish Institute for Health Care and Rehabilitation | Current | Accepting new patients |
Locations
250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463
370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000
877 Stewart Ave
Ste 16
Garden City, NY 11530
Phone (516) 431-0700
560 Northern Blvd
Ste 101
Great Neck, NY 11021
Phone (516) 466-6165
560 Northern Blvd
Ste 210
Great Neck, NY 11021
Phone (516) 482-8826
120 Bethpage Rd
Ste 306
Hicksville, NY 11801
Phone (516) 359-3720
1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570
27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100
524 Old Country Rd
Plainview, NY 11803
Phone (516) 622-1308
36 Main St
Prt Washingtn, NY 11050
Phone (516) 883-8388
400 Montauk Hwy
Ste 111
West Islip, NY 11795
Phone (631) 587-9009
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rgardner@prine.curemd.direct-ci.com
Organizations & group practices 5
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.
-
- Skilled Nursing Facility
- New Hyde Park, NY
- NPI 1932275427
-
dba PRINE Podiatry
- Nephrology Physician
- Manhasset, NY
- NPI 1144790163
-
- Podiatrist
- Glen Cove, NY
- NPI 1174427439
-
dba The Parker Jewish Geriatric Inst
- Long Term Care Pharmacy
- New Hyde Park, NY
- NPI 1306882857
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1770010118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N CLOVER DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211038",
"telephone_number": "310-801-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 N CLOVER DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211038",
"telephone_number": "310-801-7893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "RUBY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N007041",
"primary": false
},
{
"code": "213EP0504X",
"taxonomy_group": "",
"desc": "Podiatrist, Public Medicine",
"state": "NY",
"license": "N007041",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "NY",
"license": "N007041",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "NY",
"license": "N007041",
"primary": false
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": "N007041",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N007041",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N007041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.