NPIMap

Individual provider Active NPI

Rachel Anne Ruotolo, M.D.

  • Specialist
  • Garden City, NY
National Provider Identifier
1447313978
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
243747 Issued in NY
Practice address
999 Franklin Ave
3Rd Floor
Garden City, NY 11530-2913
Phone
(516) 742-3404
Fax
(516) 629-3895
NPI assigned
Dec 18, 2006
Last updated
Oct 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 243747 NY Primary

Addresses

Primary practice location

999 Franklin Ave
3Rd Floor
Garden City, NY 11530-2913

Mailing address

999 Franklin Ave
3Rd Floor
Garden City, NY 11530-2913
Phone (516) 742-3404

Other identifiers 1

IdentifierTypeStateIssuer
02915011MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000498 NY Practitioner - Plastic and Reconstructive Surgery 7012065725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
George Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Plastic Surgical Group, PCGroup PAC ID 1153340054, 39 clinicians

Practice addresses (Care Compare)

999 Franklin Ave
Suite 300
Garden City, NY 11530-2913
Phone (516) 629-3838

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243747NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Oct 10, 2008 Accepting new patients
Long Island Plastic Surgical Group, PC Specialist CurrentSince Mar 31, 2009 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 10, 2008 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
South Nassau Communities Hospital Past Accepting new patients

Locations

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

13620 38th Ave
Ste 5E
Flushing, NY 11354
Phone (718) 358-5868

999 Franklin Ave
Ste 300
Garden City, NY 11530
Phone (516) 535-6778

999 Franklin Ave
Garden City, NY 11530
Phone (516) 742-3404

999 Franklin Ave
Fl 3
Garden City, NY 11530
Phone (516) 742-3404

2200 Northern Blvd
Ste 201
Greenvale, NY 11548

206 E Jericho Tpke
Huntington Station, NY 11746
Phone (631) 847-0200

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

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

Interoperability endpoints

  • Direct secure messaging: rruotolo307957@nyumc.direct-ci.com

Organizations & group practices 7

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 7

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1447313978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 FRANKLIN AVE",
            "address_2": "3RD FLOOR",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302913",
            "telephone_number": "516-742-3404",
            "fax_number": "516-629-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 FRANKLIN AVE",
            "address_2": "3RD FLOOR",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302913",
            "telephone_number": "516-742-3404",
            "fax_number": "516-629-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOTOLO",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "243747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02915011",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.