Organization Active NPI

Joseph D. Ruffo, DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • West Islip, NY
National Provider Identifier
1174824932
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N005680-1 Issued in NY
Legal business name
JOSEPH D. RUFFO, DPM, PC
Practice address
147 Norma Ave
West Islip, NY 11795-1510
Phone
(888) 340-3575
Fax
(888) 339-9515
NPI assigned
Nov 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Joseph D Ruffo, DPMNPI 1891778882
Title
Provider
Phone
(888) 340-3575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X N005680-1 NY Primary

Addresses

Primary practice location

147 Norma Ave
West Islip, NY 11795-1510

Mailing address

147 Norma Ave
West Islip, NY 11795-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110331000087 NY DME Supplier - Physician - Podiatry 8224211123 Practice locations: Babylon, NY
O20110816000669 NY Part B Supplier - Clinic/Group Practice 8224211123 Receives reassigned benefits from 2 practitioners
Practice locations: West Babylon, NY; Sea Cliff, NY; Babylon, NY

National Provider Directory

National Provider Directory

Locations

46 Little East Neck Rd
Unit A
Babylon, NY 11702
Phone (631) 482-8710

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1174824932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORMA AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 NORMA AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951510",
            "telephone_number": "888-340-3575",
            "fax_number": "888-339-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH D. RUFFO, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "RUFFO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "888-340-3575",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.