Individual provider Active NPI

Allison Marie Ruggiero

  • Massage Therapist
  • Smithtown, NY
National Provider Identifier
1336780642
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
023073 Issued in NY
Practice address
100 Terry Rd
Smithtown, NY 11787-3811
Phone
(631) 979-7400
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 023073 NY Primary

Addresses

Primary practice location

100 Terry Rd
Smithtown, NY 11787-3811

Mailing address

100 Terry Rd
Smithtown, NY 11787-3811
Phone (631) 979-7400

Other practice location 1

225 Montauk Hwy #114
Moriches, NY 11955
Phone (631) 874-4114

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

State licenses

LicenseStateTypeSpecialty
023073NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
E.Lila Augoustiniatos, MD, PC CurrentSince Feb 2, 2020 Accepting new patients
Luna Mesa Day Spa Inc Massage Therapist PastSince Oct 1, 2019 Accepting new patients

Locations

100 Terry Rd
Smithtown, NY 11787
Phone (631) 979-7301

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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1336780642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-979-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERRY RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873811",
            "telephone_number": "631-979-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Montauk Hwy #114",
            "address_purpose": "LOCATION",
            "city": "Moriches",
            "state": "NY",
            "postal_code": "11955",
            "country_code": "US",
            "telephone_number": "631-874-4114",
            "fax_number": "631-874-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "ALLISON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.