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DONNA RUDDY
NPI 1336543933
Specialist in Port Jefferson Station, NY

Active since October 10, 2014
38 HOOPER ST, PORT JEFFERSON STATION, NY 11776(631) 241-2027 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Donna Ruddy NPPES

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

DONNA RUDDY (NPI 1336543933) is an individual specialist in Port Jefferson Station, New York, licensed in New York (710570678) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1336543933
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDONNA RUDDY
Location Address38 HOOPER STPort Jefferson Station, NY 11776-3904
Mailing Address38 Hooper StPort Jefferson Station, NY 11776-3904 · (631) 241-2027
Phone(631) 241-2027
Sole ProprietorYes
Enumeration DateOctober 10, 2014
✔ NPI 1336543933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 710570678
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
38 HOOPER ST, Port Jefferson Station, NY 11776
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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 Donna Ruddy's NPI number?

The NPI number for Donna Ruddy is 1336543933. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Donna Ruddy located?

Donna Ruddy practices at 38 Hooper St, Port Jefferson Station, NY 11776. The listed phone number is (631) 241-2027.

What is Donna Ruddy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Donna Ruddy was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.