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Export Provider Record NPI 1306399407
Ruth St.audePA-C
Active
NPI Number1306399407
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1306399407
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-07-26
Last Updated2024-02-14
Mailing Address272 Mill Rd
Valley Stream, NY 11581-2936
United States
Phone: (917) 402-1770
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Primary Practice Address259 1st St
Mineola, NY 11501-3957
United States
Phone: (516) 663-1000
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantNY019924
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About NPI 1306399407

Ruth St.aude PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306399407. The primary specialty listed is Physician Assistant. The provider is located in Mineola, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-07-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1306399407?

NPI 1306399407 belongs to Ruth St.aude PA-C, a Physician Assistant in Mineola, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1306399407 active?

The current status of NPI 1306399407 in the NPPES registry is Active. The record was last updated on 2024-02-14.

What specialty is NPI 1306399407?

NPI 1306399407 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1306399407?

You can verify NPI 1306399407 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1306399407?

The primary practice address on file for NPI 1306399407 is 259 1st St, Mineola, NY 11501-3957. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1306399407 issued?

NPI 1306399407 was first issued (enumerated) on 2016-07-26. The NPPES record was last updated on 2024-02-14.

Practice Location Map

Ruth St.aude is located at 259 1st St, Mineola, NY. Use the map below to find directions or verify the practice location.

📍 259 1st St, Mineola, NY 11501-3957  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ruth St.aude. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1306399407. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant019924NY
Data Verified from CMS NPPES Last synced: 2026-08-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162