Active NPI
Samuel F Ruggiero, DPM
- Podiatrist
- Clarence, NY
National Provider Identifier
1376542704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N3433
- Practice address
- 10440 Main St
Clarence, NY 14031-1627 - Phone
- (716) 759-6005
- Fax
- (716) 897-3338
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N3433 | NY | Primary |
| Foot Surgery Podiatrist | 213ES0131X | N3433 | NY |
Addresses
Primary practice location
10440 Main St
Clarence, NY 14031-1627
Mailing address
2507 Harlem Rd
Cheektowaga, NY 14225-4527
Phone (716) 896-6262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N3433 | NY | MD | Podiatrist |
| 003433 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227225600000",
"number": "1376542704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254527",
"telephone_number": "716-896-6262",
"fax_number": "716-897-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 MAIN ST",
"city": "CLARENCE",
"state": "NY",
"postal_code": "140311627",
"telephone_number": "716-759-6005",
"fax_number": "716-897-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGGIERO",
"first_name": "SAMUEL",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2008-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N3433",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N3433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.