Samira Ruiz, PA-C

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MP00470000 Issued in NJ

Practice address

254 Easton Ave
New Brunswick, NJ 08901-1766

Phone

(732) 745-8600

NPI assigned

Apr 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1871542969

  Multi-Specialty

  Medicare reassignment NPD
• Jersey Irish Medical

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739
  Medicare reassignment
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Ft Lauderdale, FL
  • NPI 1316764988
  Medicare reassignment
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Ft Lauderdale, FL
  • NPI 1003633694

  Multi-Specialty

  NPD
• Florida Em-I Medical Services, PA

  • Nurse Practitioner
  • Coral Springs, FL
  • NPI 1336966910

  Multi-Specialty

  NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Deerfield Beach, FL
  • NPI 1407805591

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1902393531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 FOREST RD",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180526217",
            "telephone_number": "215-900-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011766",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SAMIRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MP00470000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Rubin, LCSW
• Lanny S Rubin, DDS
• Chelsea Lynn Rubinstein, LCSW
• Kathryn Elizabeth Ruhnke, MSPT
• Christian Franco Gonzales Ruiz, MD
• Eileen Susan Russo, M.D.
• Marco Joseph Russo, MD, PHD
• Mark Joseph Russo, M.D., M.S
• Vinod Kumar Rustgi, MD
• Bruno Rustico, DNP, FNP-C

• Emergency Medicine Physician in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.