Active NPIIndividual provider

Michael S Ruggiero, PA

Physician Assistant, Medical in Peabody, Massachusetts

NPI Number1275598112
Practice location
2 Essex Center Dr, Peabody, MA 01960-2902
Fax
—
Last updated
April 3, 2024

Michael S Ruggiero is a Physician Assistant, Medical based in Peabody, MA. Michael S Ruggiero practices in Peabody, MA and has the professional credentials of PA. The NPI Number for Michael S Ruggiero is 1275598112 and holds a License No. 1733 (MA). The current practice location address for Michael S Ruggiero is 2 Essex Center Dr, Peabody, MA 01960-2902 and can be reached out via phone at 978-977-4000.

Provider Profile Details

NPI Number
1275598112
Provider Name
Michael S Ruggiero
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
2 Essex Center Dr, Peabody, MA 01960-2902
Phone Number
978-977-4000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2006
Last Update Date
April 3, 2024
Certification Date
April 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Essex Center Dr
Peabody, MA 01960-2902
Zip
01960-2902
Phone Number
978-977-4000
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806
City
Boston
State
MA
Zip
02109-4806
Phone Number
617-559-8053
Fax Number
617-421-3487

License Information

License Number (1)
1733
License State (1)
MA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
1733
License State (2)
MA
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael S Ruggiero, PA?

The NPI number of Michael S Ruggiero, PA is 1275598112. It was assigned on April 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael S Ruggiero, PA?

Michael S Ruggiero, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 1733.

Where does Michael S Ruggiero, PA practice?

The practice location is 2 Essex Center Dr, Peabody, MA 01960-2902. The office can be reached at 978-977-4000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275598112 directly on the NPPES registry website.

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