Mikhael Ruzhin LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIKHAEL RUZHIN LTD

Practice address

26-17 Broadway
Fair Lawn, NJ 07410-3821

Phone

(201) 797-5355

Fax

(201) 791-4995

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nelly Bakshiyev

Title

President/Owner

Phone

(201) 797-5355

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1841208709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26-17 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103821",
            "telephone_number": "201-797-5355",
            "fax_number": "201-791-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26-17 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103821",
            "telephone_number": "201-797-5355",
            "fax_number": "201-791-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAEL RUZHIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BAKSHIYEV",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-797-5355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387461",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuela Maria Angela Miccoli, MSW
• Michael Rosenblum, DPM
• Virginia Mickolajczyk
• Midland Pain Management
• Mike Miron, M.D.,P.C.
• Mitchell Howard Milch, LCSW
• Nicholas Milewski
• John Frederick Milius, M.A., LPC
• Amanda J Miller, SLP
• Richard H Miller, DMD

• Durable Medical Equipment & Medical Supplies in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.