Active NPI
Allison Marie Ruggiero
- Massage Therapist
- Smithtown, NY
National Provider Identifier
1336780642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 023073
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 023073 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.Lila Augoustiniatos, MD, PC | Current | Accepting new patients | |
| Luna Mesa Day Spa Inc | Massage Therapist | Past | 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.
-
- Internal Medicine Physician
- Smithtown, NY
- NPI 1922156132
-
- Massage Therapist
- Moriches, NY
- NPI 1154887198
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.