Individual provider Active NPI

Anthony R Ruvo, M.D.

  • Emergency Medicine Physician
  • East Northport, NY
National Provider Identifier
1972628014
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
169290 Issued in NY
Practice address
558 Larkfield Rd
East Northport, NY 11731-4204
Phone
(845) 565-3700
Fax
(845) 565-3696
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 050882 CT
Family Medicine Physician 207Q00000X 25MA06164300 NJ
Emergency Medicine Physician 207P00000X 169290 NY Primary

Addresses

Primary practice location

558 Larkfield Rd
East Northport, NY 11731-4204

Mailing address

484 Temple Hill Rd
Suite 104
New Windsor, NY 12553-5557
Phone (845) 565-3700

Other practice location 1

75 Crystal Run Rd
Suite G40
Middletown, NY 10941-7000
Phone (845) 703-2273

Other identifiers 3

IdentifierTypeStateIssuer
0410543MedicaidNJ
273979MedicaidCT
01086800MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040312000602 NY Practitioner - Emergency Medicine 5991607046 Reassigns benefits to 10 organizations
I20121031000269 NJ Practitioner - Emergency Medicine 5991607046 Reassigns benefits to 6 organizations
I20130201000397 CT Practitioner - Emergency Medicine 5991607046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050882CTMDEmergency Medicine Physician
25MA06164300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Astoria PLLC Emergency Medicine CurrentSince Aug 15, 2011 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Oct 15, 2011 Accepting new patients
Excel Urgent Care of Goshen PLLC Emergency Medicine CurrentSince Dec 1, 2008 Accepting new patients
Urgent Care of New York PLLC CurrentSince Nov 12, 2023 Accepting new patients
Excel Urgent Care of NJ LLC CurrentSince Apr 22, 2014 Accepting new patients
Excel Urgent Care of Fishkill PLLC Emergency Medicine CurrentSince May 1, 2009 Accepting new patients
Excel Urgent Care of Paramus LLC CurrentSince Oct 17, 2025 Accepting new patients
Excel Urgent Care of NHP PLLC CurrentSince Jun 6, 2012 Accepting new patients
Throgs Neck Urgent Medical Care PLLC CurrentSince Dec 1, 2005 Accepting new patients
Orange Urgent Care PLLC CurrentSince Aug 30, 2007 Accepting new patients
North Shore Lij, Urgent Care, P.C. CurrentSince Jul 20, 2015 Accepting new patients
Westport Urgent Care LLC CurrentSince Jul 2, 2012 Accepting new patients
Doctors Office of New Jersey, LLC CurrentSince Dec 3, 2014 Accepting new patients
Midtown New York Doctors Urgent Care PLLC CurrentSince Jun 4, 2012 Accepting new patients
Doctors Office of Brick CurrentSince Feb 1, 2013 Accepting new patients
The Doctors Office of Manalapan LLC Emergency Medicine CurrentSince Sep 13, 2011 Accepting new patients
Doctor'S Office of West Caldwell LLC Emergency Medicine CurrentSince Dec 29, 2010 Accepting new patients
Excel Urgent Care of Nesconset, PLLC Emergency Medicine CurrentSince Sep 1, 2011 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Mar 1, 2013 Accepting new patients
Malone Emergecny Medical Services Emergency Medicine PastSince Sep 1, 2009 Accepting new patients
Catskill Regional Emergency Physician Service, PLLC Emergency Medicine PastSince Jun 1, 2008 Accepting new patients
Chenango Memorial Hospital, Inc. Emergency Medicine PastSince Mar 28, 2015 Accepting new patients
Fishkill Pharmacy LLC PastSince Dec 24, 2016 Accepting new patients
Blue Springs Emergency Physician Services PC PastSince Feb 10, 2012 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients
Tri-State Emergency Physicians PLLC Emergency Medicine PastSince Aug 1, 2009 Accepting new patients
Hospital Attending Physicians Past Accepting new patients
Hospital Emergency Licensed Physicians Emergency Medicine PastSince Sep 1, 2009 Accepting new patients
Warwick Emergency Physicians Emergency Medicine PastSince Sep 1, 2009 Accepting new patients
Westchester Square Emergency Physicians Emergency Medicine PastSince Sep 1, 2009 Accepting new patients
Virginia Hospital Practitioners PastSince Aug 17, 2012 Accepting new patients
Excel Emergency Physician Services of Hudson Valley, PLLC Emergency Medicine PastSince Jun 1, 2006 Accepting new patients

Locations

525 Tunxis Hill Cut Off
Fairfield, CT 06825
Phone (203) 557-8200

1045 Post Rd E
Westport, CT 06880
Phone (203) 259-2124

120 Craig Rd
Manalapan, NJ 07726
Phone (723) 414-2991

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

2040 State Route 33
Neptune City, NJ 07753
Phone (732) 455-5800

2624 Highway 516
Old Bridge, NJ 08857
Phone (973) 671-8775

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

3594 E Tremont Ave
Bronx, NY 10465
Phone (718) 597-5800

2112 Middle Country Rd
Centereach, NY 11720
Phone (631) 247-7463

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

1 Hatfield Ln
Ste 2B
Goshen, NY 10924
Phone (845) 360-5530

15740 Crossbay Blvd
Howard Beach, NY 11414
Phone (917) 300-6969

75 Crystal Run Rd
Ste G40
Middletown, NY 10941
Phone (845) 703-2273

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040
Phone (516) 519-8400

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

205 Lexington Ave
New York, NY 10016
Phone (212) 335-0034

205 Lexington Ave
#215
New York, NY 10016
Phone (212) 684-4700

243 Merrick Rd
Rockville Centre, NY 11570
Phone (516) 537-9063

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

Organizations & group practices 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1972628014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "SUITE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LARKFIELD RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314204",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Crystal Run Rd",
            "address_2": "Suite G40",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109417000",
            "country_code": "US",
            "telephone_number": "845-703-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUVO",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "050882",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06164300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "169290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410543",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273979",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.