Individual provider Active NPI

J D Ruggiero, MD

  • Otolaryngology Physician
  • Orange Park, FL
National Provider Identifier
1346221348
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME67983 Issued in FL
Practice address
2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492
Phone
(904) 272-3200
Fax
(904) 272-3211
NPI assigned
Nov 8, 2005
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME67983 FL Primary

Addresses

Primary practice location

2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492

Mailing address

2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492
Phone (904) 272-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000232 FL Practitioner - Otolaryngology 7517999253 Receives reassigned benefits from 1 practitioner
Practice locations: Orange Park, FL

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of South Florida College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2035 Professional Ctr Dr
Suite a
Orange Park, FL 32073-4462
Phone (904) 834-1002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Ear, Nose and Throat CurrentSince Jan 4, 2021 Accepting new patients
J D Ruggiero MD PLLC CurrentSince Jan 4, 2021 Accepting new patients

Locations

2035 Professional Center Dr
Ste A
Orange Park, FL 32073
Phone (904) 272-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1346221348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734492",
            "telephone_number": "904-272-3200",
            "fax_number": "904-272-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734492",
            "telephone_number": "904-272-3200",
            "fax_number": "904-272-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "J",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME67983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.