Anthony Rusignuolo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00625300 Issued in NJ

Practice address

15 Franklin PL
Rutherford, NJ 07070-1707

Phone

(201) 933-2576

Fax

(201) 933-2602

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutherford Eye CareGroup PAC ID 6608102983, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rutherford Eye Care

  • Optometrist
  • Rutherford, NJ
  • NPI 1609438506
  Medicare reassignment Care Compare group Authorized official
• Sightrite Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1336562644
  Medicare reassignment NPD

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1467590893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FRANKLIN PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701707",
            "telephone_number": "201-933-2576",
            "fax_number": "201-933-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FRANKLIN PL",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701707",
            "telephone_number": "201-933-2576",
            "fax_number": "201-933-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSIGNUOLO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007066",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00625300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03110776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert C. Graber D.M.D., P.a.
• Robust Living Therapy LLC
• Murray H Rothman, MD
• Mark Michael Rubin, DMD
• Lisa M Rusek, M.S., CCC-SLP
• Rutherford Allied Medical Group
• Rutherford Anesthesia Associates, LLC
• Rutherford Eye Care
• Rutherford Gastroenterology Associates, PA
• Rutherford Imaging, LLC

• Optometrist in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.