Active NPI
Phillip Ruggiero, DC
- Chiropractor
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2257
- Practice address
- 49 Welles St Ste 215
Glastonbury, CT 06033-4205 - Phone
- (860) 966-8791
- NPI assigned
- Jun 23, 2022
- Last updated
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002257 | CT | |
| Chiropractor | 111N00000X | 2257 | CT | Primary |
Addresses
Primary practice location
49 Welles St Ste 215
Glastonbury, CT 06033-4205
Mailing address
2016 Hebron Ave
Glastonbury, CT 06033-2636
Phone (732) 977-4733
Other practice location 1
110 Court St Ste 1C
Cromwell, CT 06416-1273
Phone (203) 802-3399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Court St
Suite 1C
Cromwell, CT 06416-1273
Phone (203) 533-2240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002257 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiss & Ruggiero Chiropractic and Neurology Center LLC | Chiropractor | Current | Accepting new patients |
| Totalvision Eye Health Center LLC | Single Specialty | Past | Accepting new patients |
Locations
110 Court St
Ste 1C
Cromwell, CT 06416
Phone (203) 533-2240
Organizations & group practices 2
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.
-
- Chiropractor
- Cromwell, CT
- NPI 1487424164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1235860875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 HEBRON AVE",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332636",
"telephone_number": "732-977-4733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WELLES ST STE 215",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334205",
"telephone_number": "860-966-8791"
}
],
"practiceLocations": [
{
"address_1": "110 Court St Ste 1C",
"address_purpose": "LOCATION",
"city": "Cromwell",
"state": "CT",
"postal_code": "064161273",
"country_code": "US",
"telephone_number": "203-802-3399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGGIERO",
"first_name": "PHILLIP",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "002257",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "2257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.