NPIMap

Organization Active NPI

Louis S Ruvolo M D LLC

  • Surgery Physician
  • Willingboro, NJ
National Provider Identifier
1306178157
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA02679600 Issued in NJ
Legal business name
LOUIS S RUVOLO M D LLC
Practice address
1000 Salem Rd Ste a
Willingboro, NJ 08046-2852
Phone
(609) 877-1737
Fax
(609) 877-1589
NPI assigned
Feb 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Dr. Louis Ruvolo, M.D.
Title
President
Phone
(609) 877-1737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 25MA02679600 NJ Primary

Addresses

Primary practice location

1000 Salem Rd Ste a
Willingboro, NJ 08046-2852

Mailing address

1000 Salem Rd Ste a
Willingboro, NJ 08046-2852
Phone (609) 877-1737

Other identifiers 1

IdentifierTypeStateIssuer
1316800MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1306178157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SALEM RD STE A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462852",
            "telephone_number": "609-877-1737",
            "fax_number": "609-877-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SALEM RD STE A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080462852",
            "telephone_number": "609-877-1737",
            "fax_number": "609-877-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS S RUVOLO M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "RUVOLO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-877-1737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA02679600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willingboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.