Individual
DR. RURIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
229457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028110301
UNIVERA
—
01
—
000529158001
BC/BS
—
01
—
0156830
GHI PPO
—
05
—
02877796
—
NY
01
—
1714218
INDEPENDENT HEALTH
—
01
—
229457-7W
WORKERS COMPENSATION
NY
01
—
P00474579
RRM
NY
Enumeration date
08/13/2006
Last updated
05/05/2026
Update your record
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