Alexandra M Rulli, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094696-1 Issued in NY

Practice address

52 Bayview Ave
Babylon, NY 11702-4308

Phone

(516) 589-4110

NPI assigned

Sep 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Dune Path Counseling LCSW PLLC

  • Clinical Social Worker
  • East Setauket, NY
  • NPI 1508730227
  NPD Authorized official

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1427427400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OLD COACH RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333801",
            "telephone_number": "516-589-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 BAYVIEW AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024308",
            "telephone_number": "516-589-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLI",
        "first_name": "ALEXANDRA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094696-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jean Romano, M.S., CCC-SLP
• Marion B Rose, M.D.
• Jaclyn Rosen, MS, CNS, CDN
• Jenna Elise Rosenberg
• Theresa Maria Rua, O.D.
• Courtney Runkel
• Sarah Ruplin
• Ryan M. Cahill D.O. PC
• Rebecca Ryan, LMHC
• Christine Ann Sadousky, LMSW

• Social Worker in Babylon, NY
• Providers in Babylon, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.