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

Kenneth J Ruiz, RPA-C

Individual provider Surgical Physician Assistant · NPI 1407133515

Kenneth J Ruiz, RPA-C is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015268 (NY)

Record details

NPI number1407133515
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2011
Last updated in NPPESSeptember 17, 2013

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