George Richard Ruggiero, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

216402 Issued in NY

Practice address

54 Woodville Rd
Shoreham, NY 11786-1331

Phone

(631) 929-1256

Fax

(631) 929-8313

NPI assigned

Jul 24, 2006

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Family Medicine PC

  • Family Medicine Physician
  • Shoreham, NY
  • NPI 1205022837
  Authorized official Same address or phone

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1902828163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-298-4479",
            "fax_number": "631-591-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 WOODVILLE RD",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117861331",
            "telephone_number": "631-929-1256",
            "fax_number": "631-929-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "216402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara I Reichert, RN
• Andrew J Ribaudo, RPA C
• Kristen Robertson, LPN
• Rocky Point Fire District
• Timothy Roy, R.N.
• Eric Brett Salmonson, DDS
• Ronald Jay Salmonson, D.D.S.
• Lauren Ashley Santagata
• Jorge Santiago Jr.
• Judy Lynn Santoro, MA CCC LSP

• Family Medicine Physician in Shoreham, NY
• Providers in Shoreham, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.