Active NPI
New York Medical Doctors, PA
- Primary Care Clinic/Center
- Port Saint Lucie, FL
National Provider Identifier
1801031893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME00067996
- Legal business name
- NEW YORK MEDICAL DOCTORS, PA
- Practice address
- 782 E Prima Vista Blvd
Port Saint Lucie, FL 34952-2271 - Phone
- (772) 340-0923
- Fax
- (772) 340-4462
- NPI assigned
- Dec 5, 2008
- 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. John C Ruggian, M.D.
- Title
- Ceo/Owner
- Phone
- (772) 340-0923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME00067996 | FL | Primary |
Addresses
Primary practice location
782 E Prima Vista Blvd
Port Saint Lucie, FL 34952-2271
Mailing address
782 E Prima Vista Blvd
Port Saint Lucie, FL 34952-2271
Phone (772) 340-0923
Other names 1
- NEW YORK MEDICAL ASSOCIATES
National Provider Directory
National Provider DirectoryLocations
782 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (564) 340-0923
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fort Pierce, FL
- NPI 1104896026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1801031893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "782 E PRIMA VISTA BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349522271",
"telephone_number": "772-340-0923",
"fax_number": "772-340-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 E PRIMA VISTA BLVD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349522271",
"telephone_number": "772-340-0923",
"fax_number": "772-340-4462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK MEDICAL DOCTORS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-05",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "RUGGIAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "772-340-0923",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME00067996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW YORK MEDICAL ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.