Peter Ruggiero MD PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME0073282 Issued in FL

Legal business name

PETER RUGGIERO MD PA

Practice address

1200 W Sr 434 Ste 112
Longwood, FL 32750-4957

Phone

(407) 869-8747

Fax

(407) 869-8108

NPI assigned

Feb 9, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Ruggiero, M.D.NPI 1124022058

Title

Ceo

Phone

(407) 644-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Peter Ruggiero, M.D.

  • Internal Medicine Physician
  • Longwood, FL
  • NPI 1124022058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1265573414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W SR 434 STE 112",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504957",
            "telephone_number": "407-869-8747",
            "fax_number": "407-869-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W SR 434 STE 112",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504957",
            "telephone_number": "407-869-8747",
            "fax_number": "407-869-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER RUGGIERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-644-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME0073282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Perez Jr., DDS
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• Allergy & Immunology Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.