Individual provider Active NPI

Kristina Theresia Ruff, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Middle Village, NY
National Provider Identifier
1811287436
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006699 Issued in NY
Practice address
7844 Metropolitan Ave
Middle Village, NY 11379-2966
Phone
(718) 326-4789
Fax
(718) 326-0828
NPI assigned
Apr 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X N006699 NY Primary

Addresses

Primary practice location

7844 Metropolitan Ave
Middle Village, NY 11379-2966

Mailing address

7844 Metropolitan Ave
Middle Village, NY 11379-2966
Phone (718) 326-4789

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
I20151119001219 NY Practitioner - Podiatry 1153621354 Reassigns benefits to 4 organizations
Practice locations: Bayside, NY; Middle Village, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldsmith Podiatry, PCGroup PAC ID 1759414535, 2 clinicians
Greater Queens Podiatry PLLCGroup PAC ID 5698840395, 2 clinicians

Practice addresses (Care Compare)

41 W 72ND St
Unit 1Ab
New York, NY 10023-3413
Phone (212) 877-1002

4401 Francis Lewis Blvd
L3
Bayside, NY 11361-3002
Phone (718) 229-0222

4401 Francis Lewis Blvd
L3B
Bayside, NY 11361-3028
Phone (718) 229-0222

7844 Metropolitan Ave
Middle Village, NY 11379-2966
Phone (516) 592-7593

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue606
Removal of skin lesions1-10
Removal of nail tissue513
Removal or shaving of skin growth28
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006699NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Queens Podiatry PLLC Foot & Ankle Surgery CurrentSince Jul 6, 2018 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Goldsmith Podiatry, PC Foot & Ankle Surgery CurrentSince Feb 3, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Pinnacle Physical Medicine and Rehabilitation PC Past Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

Networks

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

Interoperability endpoints

  • Direct secure messaging: krr9014@direct.nyp.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1811287436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7844 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792966",
            "telephone_number": "718-326-4789",
            "fax_number": "718-326-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792966",
            "telephone_number": "718-326-4789",
            "fax_number": "718-326-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "KRISTINA",
        "middle_name": "THERESIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.