Individual provider Active NPI

Roger Philip Diruggiero, MD

  • Internal Medicine Physician
  • Verona, NJ
National Provider Identifier
1457301699
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04297700 Issued in NJ
Practice address
271 Grove Ave Ste a
Verona, NJ 07044-1731
Phone
(973) 239-2600
Fax
(833) 495-1921
NPI assigned
May 10, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04297700 NJ Primary

Addresses

Primary practice location

271 Grove Ave Ste a
Verona, NJ 07044-1731

Mailing address

9 Wildlife Run
New Vernon, NJ 07976-9720
Phone (973) 945-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100405000000 NJ Practitioner - Internal Medicine 9335130723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Medical Group PAGroup PAC ID 5092751842, 59 clinicians
Hackensack Meridian Urgent Care PCGroup PAC ID 2769751270, 50 clinicians

Practice addresses (Care Compare)

271 Grove Ave
Suite a
Verona, NJ 07044-1731
Phone (973) 239-2600

315 W Main St
Freehold, NJ 07728-2517
Phone (732) 414-6850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Group, PA CurrentSince Feb 19, 2024 Accepting new patients
Primary Care for the Homebound PA Current Accepting new patients
Northern Ohio Medical Specialists, LLC PastSince Dec 19, 2023 Accepting new patients

Locations

477 State Route 10
Ste 205
Randolph, NJ 07869
Phone (973) 560-9500

271 Grove Ave
Ste A
Verona, NJ 07044
Phone (973) 239-2600

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.rogerdiruggiero@136290.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/25493/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roger.diruggiero.1@25493.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1457301699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILDLIFE RUN",
            "city": "NEW VERNON",
            "state": "NJ",
            "postal_code": "079769720",
            "telephone_number": "973-945-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 GROVE AVE STE A",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070441731",
            "telephone_number": "973-239-2600",
            "fax_number": "833-495-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRUGGIERO",
        "first_name": "ROGER",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04297700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

Verify at the official NPI Registry.