Jorge S Cerruti, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

100666 Issued in NY

Practice address

2000 N Village Ave
Suite 306
Rockville Centre, NY 11570-1078

Phone

(516) 678-2232

Fax

(516) 678-8405

NPI assigned

Oct 31, 2005

Last updated

Nov 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1093706046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302727",
            "telephone_number": "516-742-8250",
            "fax_number": "516-678-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N VILLAGE AVE",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701078",
            "telephone_number": "516-678-2232",
            "fax_number": "516-678-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRUTI",
        "first_name": "JORGE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "100666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Cavanagh, PHD
• Cda Medical, PLLC (Passport Health)
• Catherine Cecere Lucas, LCSW
• Timothy Patrick Cecere Jr.
• David Scott Center, DDS
• Audra Cerruto, PH.D
• Keri Chaloupka, NP
• Nadene Chambers-Simpson
• Hang Fong Kitty Chan, D.O.
• Vinoth Kailash Chandra Mohan

• Specialist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.