Individual provider Active NPI

Enzo A Ragucci, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Nyack, NY
National Provider Identifier
1205803640
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2177011 Issued in NY
Practice address
2 Crosfield Ave
Suite 204
West Nyack, NY 10994-2221
Phone
(845) 358-6266
Fax
(845) 358-7872
NPI assigned
Mar 3, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2177011 NY Primary

Addresses

Primary practice location

2 Crosfield Ave
Suite 204
West Nyack, NY 10994-2221

Mailing address

2 Crosfield Ave
Suite 204
West Nyack, NY 10994-2221
Phone (845) 358-6266

Other identifiers 1

IdentifierTypeStateIssuer
02357459MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041120000216 NY Practitioner - Endocrinology 9436114212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes and Endocrinology Consultants, PCGroup PAC ID 4981773165, 5 clinicians

Practice addresses (Care Compare)

2 Crosfield Ave
Suite 204
West Nyack, NY 10994-2221
Phone (845) 358-6266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2177011NYMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrinology Consultants, PC CurrentSince Jan 1, 2008 Accepting new patients

Locations

2 Crosfield Ave
Ste 204
West Nyack, NY 10994
Phone (845) 358-6266

Interoperability endpoints

  • Direct secure messaging: drragucci@dandec.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1205803640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 204",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942221",
            "telephone_number": "845-358-6266",
            "fax_number": "845-358-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CROSFIELD AVE",
            "address_2": "SUITE 204",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942221",
            "telephone_number": "845-358-6266",
            "fax_number": "845-358-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUCCI",
        "first_name": "ENZO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "2177011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.