Individual provider Active NPI

Jay L. Rugoff, D.C.

  • Chiropractor
  • Albany, NY
National Provider Identifier
1063478949
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004546 Issued in NY
Practice address
1375 Washington Ave
Suite G102
Albany, NY 12206-1070
Phone
(518) 229-6794
Fax
(518) 489-6516
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004546 NY Primary

Addresses

Primary practice location

1375 Washington Ave
Suite G102
Albany, NY 12206-1070

Mailing address

1375 Washington Ave
Suite G102
Albany, NY 12206-1070
Phone (518) 229-6794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004546NYMDBehavioral Analyst
X004546NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1063478949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 WASHINGTON AVE",
            "address_2": "SUITE G102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061070",
            "telephone_number": "518-229-6794",
            "fax_number": "518-489-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 WASHINGTON AVE",
            "address_2": "SUITE G102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061070",
            "telephone_number": "518-229-6794",
            "fax_number": "518-489-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGOFF",
        "first_name": "JAY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.