Individual provider Active NPI

Sarah Ruffolo, M.S. ED, CCC-SLP

  • Speech-Language Pathologist
  • Niagara Falls, NY
National Provider Identifier
1306129515
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014230-1 Issued in NY
Practice address
630 66TH St
Niagara Falls, NY 14304-2212
Phone
(716) 286-4287
Fax
(716) 286-4203
NPI assigned
Sep 23, 2011
Last updated
Apr 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 014230-1 NY Primary

Addresses

Primary practice location

630 66TH St
Niagara Falls, NY 14304-2212

Mailing address

630 66TH St
Niagara Falls, NY 14304-2212
Phone (716) 286-4287

Other names 1

  • Mrs. Sarah Ruffolo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014230-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls City School District Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1306129515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 66TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042212",
            "telephone_number": "716-286-4287",
            "fax_number": "716-286-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 66TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042212",
            "telephone_number": "716-286-4287",
            "fax_number": "716-286-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFOLO",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014230-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RUFFOLO",
            "prefix": "MRS.",
            "credential": "M.S. ED, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.