Physician Compare National (NPI:1598788549)

HEALTHCARE PROVIDER: EDWARD RUBY

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598788549
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648210500
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050510000655
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RUBY
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1501 LANSDOWNE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 123
	Group Practice or individual's line 2 address
City	DARBY
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190231333
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6105346260
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	390156
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY FITZGERALD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390174
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390195
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MAIN LINE HOSPITAL LANKENAU
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	310064
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ATLANTICARE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390139
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BRYN MAWR HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1598788549)

HEALTHCARE PROVIDER: EDWARD RUBY

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information