Individual provider Active NPI

Ruby Gardner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Great Neck, NY
National Provider Identifier
1770010118
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007041 Issued in NY
Practice address
24 N Clover Dr
Great Neck, NY 11021-1038
Phone
(310) 801-7893
NPI assigned
May 16, 2017
Last updated
Jan 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623003394 NY Practitioner - Podiatry 8224439591 Reassigns benefits to 2 organizations

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
Prine Health Medical Group, PLLCGroup PAC ID 1557600384, 77 clinicians

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 100Reported as group
Quality
99.37
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as apm
Quality
57.34
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue27
Removal of skin lesions1-10
Removal of nail tissue437
Removal or shaving of skin growth50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007041NYMDSports Medicine Podiatrist
007041NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Oct 27, 2022 Accepting new patients
Prine Health Medical Group, PLLC Podiatrist CurrentSince Dec 1, 2022 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Oct 27, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.