NPIMap

Organization Active NPI

Sound Family Medicine PC

  • Family Medicine Physician
  • Shoreham, NY
National Provider Identifier
1205022837
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUND FAMILY MEDICINE PC
Practice address
54 Woodville Rd
Shoreham, NY 11786-1331
Phone
(631) 929-1256
Fax
(631) 929-8313
NPI assigned
Sep 18, 2007
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
George R Ruggiero, DONPI 1902828163
Title
President
Phone
(631) 929-1256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

54 Woodville Rd
Shoreham, NY 11786-1331

Mailing address

54 Woodville Rd
Shoreham, NY 11786-1331
Phone (631) 929-1256

National Provider Directory

National Provider Directory

Locations

271 Route 25A
Ste 2
Wading River, NY 11792
Phone (631) 727-4950

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1205022837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 WOODVILLE RD",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861331",
            "telephone_number": "631-929-1256",
            "fax_number": "631-929-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WOODVILLE RD",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861331",
            "telephone_number": "631-929-1256",
            "fax_number": "631-929-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-929-1256",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.