Individual provider Active NPI

Christina Ruggieri

  • Psychiatric/Mental Health Registered Nurse
  • Staten Island, NY
National Provider Identifier
1447768361
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
499998 Issued in NY
Practice address
777 Seaview Aveunue
Building Seven
Staten Island, NY 10314-2828
Phone
(718) 667-2300
NPI assigned
Jan 12, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 499998 NY Primary

Addresses

Primary practice location

777 Seaview Aveunue
Building Seven
Staten Island, NY 10314-2828

Mailing address

149 Coale Ave
Staten Island, NY 10314-2828
Phone (718) 720-1774

Other practice location 1

777 Seaview Ave
Staten Island, NY 10305-3409
Phone (718) 667-2300 ext. 2591

Other practice location 2

777 Seaview Aveunue
Building seven
Staten Island, NY 10314-2828
Phone (718) 667-2300 ext. 2591

Other identifiers 1

IdentifierTypeStateIssuer
2997157MedicaidNY

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

LicenseStateTypeSpecialty
499998NYMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447768361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 COALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142828",
            "telephone_number": "718-720-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SEAVIEW AVEUNUE",
            "address_2": "BUILDING SEVEN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142828",
            "telephone_number": "718-667-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053409",
            "country_code": "US",
            "telephone_number": "718-667-2300 x2591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Seaview Aveunue",
            "address_2": "Building seven",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103142828",
            "country_code": "US",
            "telephone_number": "718-667-2300 x2591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGIERI",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "499998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2997157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.