Agnes Umali Rueca, REGISTERED NURSE

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

361937-1 Issued in NY

Practice address

250 Baltic Street
Brooklyn, NY 11201

Phone

(718) 855-3131

NPI assigned

Oct 5, 2010

Last updated

Oct 5, 2010By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baltic Street Clinic

  dba South Beach Psychiatric Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1558670414
  NPD (past)
• South Beach Psychiatric Center

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1700195450
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1932418274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ELIZABETH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102337",
            "telephone_number": "718-876-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BALTIC STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-855-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUECA",
        "first_name": "AGNES",
        "middle_name": "UMALI",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "361937-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devorah Rudowsky, BSN RN
• Rudoy Medical PC
• Vsevolod G Rudoy, MD
• Marina Rudyakova, MS
• Andrea L Rue, M.ED.
• Joy Michelle Rueda, PT
• Ruel Pharmacy Corp (Family Drugstore)
• Ruel Pharmacy Corp (Family Drugstore)
• Meryl Arleene Rueppel
• Lisa Lee Ruesch, LCSW

• Adult Psychiatric/Mental Health Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.