Individual provider Active NPI

Rosemary Ruggiero-Decarlo, D.O.

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1063467785
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
187946 Issued in NY
Practice address
10031 4TH Ave Ste 1J
Brooklyn, NY 11209-8335
Phone
(718) 921-0106
Fax
(718) 921-0142
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 187946 NY Primary

Addresses

Primary practice location

10031 4TH Ave Ste 1J
Brooklyn, NY 11209-8335

Mailing address

10031 4TH Ave Ste 1J
Brooklyn, NY 11209-8335
Phone (718) 921-0106

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rruggierodecarlo122331@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322001015 NY Practitioner - Obstetrics/Gynecology 5395790760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
187946NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Apr 1, 2016 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Apr 1, 2016 Accepting new patients
NYU Langone Hospitals Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Ruggiero-Decarlo & Shahem, Physicians P.C. Obstetrics & Gynecology PastSince Mar 21, 2005 Accepting new patients

Locations

8721 5th Ave
Brooklyn, NY 11209
Phone (347) 875-5700

10031 4th Ave
Ste 1J
Brooklyn, NY 11209
Phone (347) 746-3376

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

705 86th St
Brooklyn, NY 11228
Phone (718) 226-6988

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1063467785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE STE 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098335",
            "telephone_number": "718-921-0106",
            "fax_number": "718-921-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 4TH AVE STE 1J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098335",
            "telephone_number": "718-921-0106",
            "fax_number": "718-921-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO-DECARLO",
        "first_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "187946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rruggierodecarlo122331@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "10031 4th Ave Ste 1J",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112098335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.