MICHAEL RUGGIERO
NPI 1053367136
Emergency Medicine in Toms River, NJ

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
970 HOOPER AVE # 2, TOMS RIVER, NJ 08753(732) 228-4146 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Ruggiero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL RUGGIERO (NPI 1053367136) is an individual emergency medicine provider in Toms River, New Jersey, licensed in New Jersey (25MB05782300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1983).

NPPES Registry Identity

NPI1053367136
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL RUGGIERO
Location Address970 HOOPER AVE # 2Toms River, NJ 08753-8319
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1983
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
NPI 1053367136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MB05782300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
970 HOOPER AVE # 2, Toms River, NJ 08753

Other Identifiers 4

Other60018882NJ · Horizon Health
Medicaid6042309NJ
Other0091630000NJ · Amerihealth
Other30028089NJ · Keystone Mercy

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michael Ruggiero is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234126913
PECOS Enrollment IDI20040426001527
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
277 services240 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
122 services122 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
68 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services56 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services15 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Emergency Medicine
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Physician Assistant
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Nurse Practitioner (Family)
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Surgery
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753
Physician Assistant (Medical)
970 HOOPER AVE # 2
TOMS RIVER, NJ 08753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ruggiero's NPI number?

The NPI number for Michael Ruggiero is 1053367136. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Michael Ruggiero located?

Michael Ruggiero practices at 970 Hooper Ave # 2, Toms River, NJ 08753. The listed phone number is (732) 228-4146.

What is Michael Ruggiero's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Ruggiero enrolled in Medicare?

Yes. Michael Ruggiero is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Ruggiero affiliated with any hospitals?

According to CMS data, Michael Ruggiero is affiliated with Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Ruggiero was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.