Frederick Ruffen

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

FREDERICK RUFFEN

Practice address

30 Roosevelt St
Glen Cove, NY 11542-1943

Phone

(516) 759-0008

Fax

(516) 759-0013

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Frederick Ruffen

Title

Owner

Phone

(516) 732-7639

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1306180567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROOSEVELT ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421943",
            "telephone_number": "516-759-0008",
            "fax_number": "516-759-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ROOSEVELT ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421943",
            "telephone_number": "516-759-0008",
            "fax_number": "516-759-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK RUFFEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "RUFFEN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-732-7639"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.