Individual provider Active NPI

Jimmy Joseph Ruiz, MD

  • Obstetrics & Gynecology Physician
  • Willow Grove, PA
National Provider Identifier
1962408351
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD419490 Issued in PA
Practice address
2729 Blair Mill Rd
Willow Grove, PA 19090-1042
Phone
(215) 672-2229
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD419490 PA Primary

Addresses

Primary practice location

2729 Blair Mill Rd
Willow Grove, PA 19090-1042

Mailing address

2729 Blair Mill Rd
Willow Grove, PA 19090-1042
Phone (215) 672-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000570 PA Practitioner - Obstetrics/Gynecology 2062305097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, shared by 44 NPIs, 442 clinicians
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-6784

1245 Highland Ave
Suite 109
Abington, PA 19001-3722
Phone (215) 481-4212

9501 Roosevelt Blvd
Suite 400
Philadelphia, PA 19114-1029
Phone (215) 612-4143

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD419490PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Aria Health Physician Services Current Accepting new patients
Aria Health Physician Services CurrentSince Apr 3, 2017 Accepting new patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Jan 25, 2017 Accepting new patients
Aria Health Physician Services-GYN Obstetrics & Gynecology CurrentSince Apr 3, 2017 Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1811 Bethlehem Pike
Ste A110
Flourtown, PA 19031
Phone (215) 366-1160

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1962408351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 BLAIR MILL RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901042",
            "telephone_number": "215-672-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 BLAIR MILL RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901042",
            "telephone_number": "215-672-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JIMMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD419490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.