Active NPI
Stockholm Obstetrics & Gynecological Services, P.C.
- Obstetrics & Gynecology Physician
- Brooklyn, NY
National Provider Identifier
1538106976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, P.C.
- Practice address
- 374 Stockholm St
Brooklyn, NY 11237-4006 - Phone
- (718) 963-7272
- Fax
- (718) 963-6793
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ralph L Ruggiero, MD
- Title
- President/Owner
- Phone
- (718) 963-6485
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
374 Stockholm St
Brooklyn, NY 11237-4006
Mailing address
374 Stockholm St
Wyckoff Heights Medical Center - Faculty Practice
Brooklyn, NY 11237-4006
Phone (718) 963-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03299956 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
374 Stockholm St
Ste 137N
Brooklyn, NY 11237
Phone (718) 963-6485
374 Stockholm St
#423N
Brooklyn, NY 11237
110 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4155
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1235458258
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1326270323
-
- Physician Assistant
- Brooklyn, NY
- NPI 1063774578
-
- Pain Management Registered Nurse
- Brooklyn, NY
- NPI 1356669436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1397088000000",
"number": "1538106976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"address_2": "WYCKOFF HEIGHTS MEDICAL CENTER - FACULTY PRACTICE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-963-6485",
"fax_number": "718-963-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 STOCKHOLM ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112374006",
"telephone_number": "718-963-7272",
"fax_number": "718-963-6793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STOCKHOLM OBSTETRICS & GYNECOLOGICAL SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2014-04-10",
"status": "A",
"authorized_official_last_name": "RUGGIERO",
"authorized_official_first_name": "RALPH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "718-963-6485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03299956",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.