Active NPI
Carolyn D Runowicz, MD
- Gynecologic Oncology Physician
- Miami, FL
National Provider Identifier
1881691210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 041792
- Practice address
- 885 SW 109 Ave
Room 130
Miami, FL 33199-0001 - Phone
- (305) 348-3627
- Fax
- (305) 348-4261
- NPI assigned
- Jun 30, 2005
- Last updated
- Sep 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 041792 | CT | Primary |
Addresses
Primary practice location
885 SW 109 Ave
Room 130
Miami, FL 33199-0001
Mailing address
11200 S.W. 8TH St.
HLS 11-693
Miami, FL 33199
Phone (305) 348-0570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417923 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Roosevelt Hospital Center | Gynecologic Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba GYN Oncology of SLR
- Gynecologic Oncology Physician
- New York, NY
- NPI 1992701205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1881691210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 S.W. 8TH ST.",
"address_2": "HLS 11-693",
"city": "MIAMI",
"state": "FL",
"postal_code": "33199",
"telephone_number": "305-348-0570",
"fax_number": "305-348-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 SW 109 AVE",
"address_2": "ROOM 130",
"city": "MIAMI",
"state": "FL",
"postal_code": "331990001",
"telephone_number": "305-348-3627",
"fax_number": "305-348-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNOWICZ",
"first_name": "CAROLYN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CT",
"license": "041792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417923",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.