Marc Rumilly, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5733 Issued in CT

Practice address

8 S Commons Rd
Waterbury, CT 06704-1035

Phone

(203) 759-1229

NPI assigned

Jul 9, 2022

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• American Current Care PA

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1851571608

  CT

  Medicare reassignment NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1144954876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S COMMONS RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041035",
            "telephone_number": "203-759-1229",
            "fax_number": "203-759-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S COMMONS RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041035",
            "telephone_number": "203-759-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMILLY",
        "first_name": "MARC",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Elizabeth Rudolph, MD
• Emily Ruegg, PA-C
• Alexia Ruesch Modesto Alves
• Mark Louis Ruggiero, M.D.
• Jessica Ruggles
• Robert James Rung Jr., DMD
• Adela Rusi, BA
• Cristina Latoya Russell, RN
• Anna Russo
• Anne K. Russo, MAAT

• Physician Assistant in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.