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

MS. Ruby Ezra, A-GNP

Individual provider Registered Nurse · NPI 1699088898

MS. Ruby Ezra, A-GNP is a Registered Nurse in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

163 Stuyvesant Dr
Port Jefferson Station, NY 11776-4251
Phone: (631) 342-7514
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308975-1 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 569398-1 (NY)

Record details

NPI number1699088898
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP
Sole proprietorYes
NPI enumeratedJuly 16, 2010
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

Other providers in Port Jefferson Station