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

Ruth Bakala

Individual provider Physician Assistant · NPI 1841032786

Ruth Bakala is a Physician Assistant in Bronx, New York. Qualified in 2023, 3 years ago. Practices with Urban Health Plan Inc, a 157-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032675 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00872300 (NJ)

Record details

NPI number1841032786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2024
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address1065 Southern Blvd, Bronx, NY 10459-2417

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Urban Health Plan Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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