Active NPI
Frederick Rufrano, MD
- Internal Medicine Physician
- Glen Cove, NY
National Provider Identifier
1871663518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 164751-1
- Practice address
- 15 Glen St
Suite 101
Glen Cove, NY 11542-2782 - Phone
- (516) 759-5011
- Fax
- (516) 656-0660
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 164751-1 | NY | Primary |
Addresses
Primary practice location
15 Glen St
Suite 101
Glen Cove, NY 11542-2782
Mailing address
15 Glen St
Suite 101
Glen Cove, NY 11542-2782
Phone (516) 759-5011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01839349 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164751-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Rufrano Mdfacppc | Internal Medicine | Past | Accepting new patients |
| Lichfpp Physicians | Internal Medicine | Past | Accepting new patients |
| Lich Faculty Practice | Past | Accepting new patients | |
| Raber Medical PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Internal Medicine Physician
- Glen Cove, NY
- NPI 1275756363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1871663518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GLEN ST",
"address_2": "SUITE 101",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422782",
"telephone_number": "516-759-5011",
"fax_number": "516-656-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 GLEN ST",
"address_2": "SUITE 101",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422782",
"telephone_number": "516-759-5011",
"fax_number": "516-656-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFRANO",
"first_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "164751-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01839349",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.