Richard Lawrence Ruddy, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29247 Issued in NY

Practice address

24 Maple Ave
Suite 1
Rockville Centre, NY 11570-4289

Phone

(516) 764-5800

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952313389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE",
            "address_2": "SUITE 1",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704259",
            "telephone_number": "516-764-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE",
            "address_2": "SUITE 1",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704289",
            "telephone_number": "516-764-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "RICHARD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "29247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mews Rousseau, MD
• Megan Rowland, OTR/L
• Nancy G Rozran, DPM
• Mitchell Myles Rubin, DMD
• Ronald P Rubin, LCSW
• Alicia Ruiz, LMHC
• David Ghatavi Rusch, M.D.
• Monica Lindh Rush, DR.
• Arthur Rusovici, MD
• Erica Russell, LMSW

• Dentist in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.