Active NPI
Ruwini D. De Silva, M.D.
- Diagnostic Radiology Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 172488
- Practice address
- 360 Bard Ave
Staten Island, NY 10310-1666 - Phone
- (718) 876-2000
- Fax
- (718) 876-2006
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 172488 | NY | Primary |
Addresses
Primary practice location
360 Bard Ave
Staten Island, NY 10310-1666
Mailing address
360 Bard Ave
Staten Island, NY 10310-1666
Phone (718) 876-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01187360 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients |
Locations
95 Madison Ave
Morristown, NJ 07960
Phone (973) 267-1010
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
4849 Arthur Kill Rd
Staten Island, NY 10309
Phone (718) 876-2000
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
360 Bard Ave
Staten Island, NY 10310
Phone (718) 876-2000
4849 Arthur Kill Rd
#P
Staten Island, NY 10309
Phone (718) 876-2000
3917 Richmond Ave
Staten Island, NY 10312
Phone (718) 876-2000
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1932186442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101666",
"telephone_number": "718-876-2000",
"fax_number": "718-876-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101666",
"telephone_number": "718-876-2000",
"fax_number": "718-876-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SILVA",
"first_name": "RUWINI",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "172488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01187360",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.