NPIMap

Organization Active NPI

New York Medical Doctors, PA

Doing business as New York Medical Associates

  • Primary Care Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1801031893
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME00067996 Issued in FL
Legal business name
NEW YORK MEDICAL DOCTORS, PA
Doing business as
New York Medical Associates
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
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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.NPI 1699778027
Title
Ceo/Owner
Phone
(772) 340-0923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

782 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (564) 340-0923

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.