Provider Demographics
NPI:1356674501
Name:RUGGIERO, MEREDITH L (MS OT)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:L
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:MS OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 1ST ST
Mailing Address - Street 2:2G
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-8802
Mailing Address - Country:US
Mailing Address - Phone:646-294-2220
Mailing Address - Fax:
Practice Address - Street 1:700 1ST ST
Practice Address - Street 2:2G
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-8802
Practice Address - Country:US
Practice Address - Phone:646-294-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00499300225X00000X
NY015737-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist