Active NPI
Molly Catherine Rogerson, MA, CCC-SLP
- Speech-Language Pathologist
- Kingston, NY
National Provider Identifier
1326604950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028732-1
- Practice address
- 70 Kukuk LN
Kingston, NY 12401-6943 - Phone
- (845) 336-2616
- NPI assigned
- May 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 028732-1 | NY | Primary |
Addresses
Primary practice location
70 Kukuk LN
Kingston, NY 12401-6943
Mailing address
70 Kukuk LN
Kingston, NY 12401-6943
Phone (518) 813-0996
Other practice location 1
2999 Hamburg St
Schenectady, NY 12303-4324
Phone (518) 355-2390
Other practice location 2
1760 Union St
Schenectady, NY 12309-6397
Phone (518) 723-9133
Other names 1
- Miss Molly Catherine Ruffo
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028732 | NY | MD | Occupational Therapist |
| 028732-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Fulton County Chapter | Current | Accepting new patients | |
| Center for Spectrum Services | Past | Accepting new patients |
Locations
127 E State St
Gloversville, NY 12078
Phone (518) 773-7931
465 N Perry St
Johnstown, NY 12095
Phone (518) 736-3937
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 and National Provider Directory roles.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Johnstown, NY
- NPI 1245309434
-
- Developmentally Disabled Services Day Training Agency
- Kingston, NY
- NPI 1922251313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1326604950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 KUKUK LN",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124016943",
"telephone_number": "518-813-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 KUKUK LN",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124016943",
"telephone_number": "845-336-2616"
}
],
"practiceLocations": [
{
"address_1": "2999 Hamburg St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123034324",
"country_code": "US",
"telephone_number": "518-355-2390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1760 Union St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123096397",
"country_code": "US",
"telephone_number": "518-723-9133",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERSON",
"first_name": "MOLLY",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-20",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028732-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "RUFFO",
"middle_name": "CATHERINE",
"prefix": "MISS",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.