Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Ruby, AGAC-NP

Individual provider Acute Care Nurse Practitioner · NPI 1508630310

Jessica Ruby, AGAC-NP is a Nurse Practitioner in New York, New York. Qualified in 2023, 3 years ago. Practices with Memorial Anesthesiology Group, a 301-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F432803-01 (NY)

Record details

NPI number1508630310
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGAC-NP
Sole proprietorNo
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Memorial Anesthesiology Group — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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