Organization Active NPI

Jon Rusciano, MD PLLC

  • Psychiatry Physician
  • Bellaire, TX
National Provider Identifier
1518443316
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P1137 Issued in TX
Legal business name
JON RUSCIANO, MD PLLC
Practice address
5233 Bellaire Blvd # 226
Bellaire, TX 77401-3901
Phone
(832) 380-5354
Fax
(662) 554-4536
NPI assigned
Jul 14, 2018
Last updated
Oct 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Dr. Jon Rusciano, MD
Title
Manager
Phone
(832) 380-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X P1137 TX Primary

Addresses

Primary practice location

5233 Bellaire Blvd # 226
Bellaire, TX 77401-3901

Mailing address

5233 Bellaire Blvd # 226
Bellaire, TX 77401-3901

National Provider Directory

National Provider Directory

Locations

5233 Bellaire Blvd
#226
Bellaire, TX 77401
Phone (832) 380-5354

5314 Dashwood Dr
Ste 300
Houston, TX 77081
Phone (832) 301-9512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1518443316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD # 226",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD # 226",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901",
            "telephone_number": "832-380-5354",
            "fax_number": "662-554-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON RUSCIANO, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSCIANO",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-380-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.