DR. JULIETTE MARELLA FAJARDO RUIZ MD
NPI 1356987697
Pediatrics - Neonatal-Perinatal Medicine in New York, NY

Q: What is Juliette Fajardo Ruiz's NPI number?

The NPI number for Juliette Fajardo Ruiz is 1356987697. It was assigned to this individual provider in the NPPES registry on November 21, 2019. The provider is also known as Dr. Juliette Marella Whitney MD.

Q: What is Juliette Fajardo Ruiz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since November 21, 2019PECOS Enrolled

3959 BROADWAY, NEW YORK, NY 10032(212) 305-5827(212) 305-7086 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Dec 8, 2023, Oct 12, 2023 and 2 more (5 updates tracked since 2019).

On this page

About Dr. Juliette Marella Fajardo Ruiz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIETTE MARELLA FAJARDO RUIZ MD (NPI 1356987697) is an individual neonatal-perinatal medicine provider in New York, New York, licensed in New York (347647) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356987697

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. JULIETTE MARELLA FAJARDO RUIZCredential: MD

Location Address3959 BROADWAYNew York, NY 10032-1559

Mailing Address3959 BroadwayNew York, NY 10032-1559 · (212) 305-5827 · Fax (212) 305-7086

Phone(212) 305-5827

Fax(212) 305-7086

Sole ProprietorNo

Enumeration DateNovember 21, 2019

Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1356987697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in NY · 347647✔ Licensed in NY · 324647

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

3959 BROADWAY, New York, NY 10032

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Other Names 1

Former Name (1)Dr. Juliette Marella Whitney Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juliette Marella Fajardo Ruiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA ISABEL GOOD M.D.

Pediatrics

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

HAE LIN SON

Nurse Practitioner (Neonatal)

3959 BROADWAY
NEW YORK, NY 10032

New York County (201) 696-5960

ELIZABETH ANN BADER

Physician Assistant

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5437

HYO JIN CHO MD

Student in an Organized Health Care Education/Training Program

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-8504

DR. DAVID RUBENSTEIN

Pediatrics (Neonatal-Perinatal Medicine)

3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032

New York County (212) 304-7250

MS. MEREDITH GAROD-MUSIC CPNP

Nurse Practitioner (Pediatrics)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 342-8530

EVIANNA CRUZ HERRERA MD/MPH

Pediatrics (Pediatric Gastroenterology)

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5903

SARA BOMBONATO OTR/L

Occupational Therapist

3959 BROADWAY
NEW YORK, NY 10032

New York County (212) 305-5827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juliette Fajardo Ruiz's NPI number?

The NPI number for Juliette Fajardo Ruiz is 1356987697. It was assigned to this individual provider in the NPPES registry on November 21, 2019. The provider is also known as Dr. Juliette Marella Whitney MD.

Where is Juliette Fajardo Ruiz located?

Juliette Fajardo Ruiz practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5827.

What is Juliette Fajardo Ruiz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Juliette Fajardo Ruiz enrolled in Medicare?

Yes. Juliette Fajardo Ruiz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juliette Fajardo Ruiz was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.