Active NPI
Devon Risha Ruggiero, M.S. SLP
- Speech-Language Pathologist
- Belrose, NY
National Provider Identifier
1104969906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016611-1
- Practice address
- 252-12 72ND Avenue
Belrose, NY 11462 - Phone
- (631) 312-1423
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016611-1 | NY | Primary |
Addresses
Primary practice location
252-12 72ND Avenue
Belrose, NY 11462
Mailing address
26 Brookes Rd
North Babylon, NY 11703-4604
Phone (631) 121-4233
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016611-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1104969906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BROOKES RD",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117034604",
"telephone_number": "631-121-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252-12 72ND AVENUE",
"city": "BELROSE",
"state": "NY",
"postal_code": "11462",
"telephone_number": "631-312-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "DEVON",
"middle_name": "RISHA",
"name_prefix": "Mrs.",
"credential": "M.S. SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2020-09-10",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016611-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.