MEDICARE: JESSICA L RUIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1265830749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA L RUIZ

Provider Business Mailing Address
First Line	:	11 WINDHAM LOOP APT 2EE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5938
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 WINDHAM LOOP
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-5959
Country	:	US
Telephone Number	:	908-578-3952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	12/19/2014

Similar Medicare Providers

1083092811 — NATURE'S PRESCRIPTIONS LLC
Practice Location Address:

529 50TH AVE
LONG ISLAND CITY, NY
11101-5959

Practice Phone: 718-786-8555
Practice Fax: 718-786-8739

1598627051 — NATURE'S PRESCRIPTIONS LLC
Practice Location Address:

529 50TH AVE
LONG ISLAND CITY, NY
11101-5959

Practice Phone: 718-786-8555
Practice Fax:

1538143680 — MR. MARK DIBUONO MD
Practice Location Address:

260 CHRISTOPHER LANE , STE 3F
STATEN ISLAND, NY
10314-1607

Practice Phone: 718-317-5522
Practice Fax: 718-494-5714

1356286124 — STATE OF NEW YORK COMPTROLLERS OFFICE
Practice Location Address:

930 WILLOWBROOK RD BLDG 15L
STATEN ISLAND, NY
10314-4209

Practice Phone: 518-402-4333
Practice Fax:

1699610360 — ALICE CHEN OT
Practice Location Address:

1415 RICHMOND AVE
STATEN ISLAND, NY
10314-1553

Practice Phone: 877-407-3422
Practice Fax: 877-407-4329

1588509152 — SMILE AND LEARN LLC
Practice Location Address:

59 ELWOOD AVE
STATEN ISLAND, NY
10314-6020

Practice Phone: 917-969-3814
Practice Fax:

Directions to “ JESSICA L RUIZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.