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

Peter-John Ruiz, RPA-C

Individual provider Physician Assistant · NPI 1386668457

Peter-John Ruiz, RPA-C is a Physician Assistant in Islandia, New York. Qualified in 2003, 23 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2006

Practice location Address checks out

3001 Express Dr N Ste 102
Islandia, NY 11749-5301
Phone: (631) 439-0600
Fax: (631) 439-0699
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009825-1 (NY)

Record details

NPI number1386668457
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Islandia