Individual provider Active NPI

John J Ruggiano, M.D.

  • Psychiatry Physician
  • Cranston, RI
National Provider Identifier
1609844240
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD04335 Issued in RI
Practice address
1090 New London Ave
Cranston, RI 02920-3035
Phone
(401) 463-5778
Fax
(401) 463-3582
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD04335 RI Primary

Addresses

Primary practice location

1090 New London Ave
Cranston, RI 02920-3035

Mailing address

1090 New London Ave
Cranston, RI 02920-3035
Phone (401) 463-5778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20050621000104 RI Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9234174384 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavioral Health CurrentSince Apr 23, 2024 Accepting new patients

Locations

1090 New London Ave
Cranston, RI 02920
Phone (401) 463-5778

75 Lambert Lind Hwy
Warwick, RI 02886
Phone (401) 463-5778

75 Lambert Lind Hwy
Ste 100120
Warwick, RI 02886

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1609844240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-463-5778",
            "fax_number": "401-463-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIANO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "MD04335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.