MS. RUBY EZRA A-GNP
NPI 1699088898
Nurse Practitioner - Adult Health in Port Jefferson Station, NY
About Ms. Ruby Ezra A-gnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. RUBY EZRA A-GNP (NPI 1699088898) is an individual adult health provider in Port Jefferson Station, New York, licensed in New York (F308975-1) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Ruby Ezra A-gnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Ruby Ezra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Sinai, NY 11766
- Reassigned Medicare billing, New York enrollment
Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Wyandanch, NY 11798
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Valley Cottage, NY 10989
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11776 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ruby Ezra's NPI number?
The NPI number for Ruby Ezra is 1699088898. It was assigned to this individual provider in the NPPES registry on July 16, 2010.
Where is Ruby Ezra located?
Ruby Ezra practices at 163 Stuyvesant Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 342-7514.
What is Ruby Ezra's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Ruby Ezra enrolled in Medicare?
Yes. Ruby Ezra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ruby Ezra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Ezra reassigns Medicare benefits to 4 organizations: Trusting Care Np In Adult Health (Mount Sinai, NY), East Coast Gastroenterology And Endoscopy PC (Patchogue, NY), Dinesh Sethi Physician PC (Wyandanch, NY) and My Medical PC (Valley Cottage, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Ezra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ruby Ezra was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Ms. Ruby Ezra, A-GNP · NPI 1699088898
Adult Health physician in Port Jefferson Station, New York. Individual provider, active in the CMS NPPES registry since July 16, 2010.
## Identity
- **NPI:** 1699088898 (Entity type: Individual)
- **Enumerated:** July 16, 2010
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F308975-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 163 STUYVESANT DR, Port Jefferson Station, NY 11776-4251
- **Phone:** (631) 342-7514
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Trusting Care Np In Adult Health (NPI 1588539928, Mount Sinai, NY); East Coast Gastroenterology And Endoscopy PC (NPI 1518459569, Patchogue, NY); Dinesh Sethi Physician PC (NPI 1326392317, Wyandanch, NY); My Medical PC (NPI 1518637891, Valley Cottage, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1699088898) · Data from the CMS NPPES public registry.