DR. TOMMASINA PAPA-RUGINO M.D.
NPI 1629050554
Psychiatry & Neurology - Neurology in Manahawkin, NJ

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 978-8900 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2023, Oct 12, 2023, Dec 21, 2022 and 2 more (5 updates tracked since 2021).

About Dr. Tommasina Papa-rugino M.d. NPPES

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

DR. TOMMASINA PAPA-RUGINO M.D. (NPI 1629050554) is an individual neurology provider in Manahawkin, New Jersey, licensed in New Jersey (25MA04848400) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1629050554
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. TOMMASINA PAPA-RUGINOCredential: M.D.
Location Address1140 ROUTE 72 WManahawkin, NJ 08050-2412
Mailing AddressPo Box 95000-4535Philadelphia, PA 19195-0001 · (732) 807-0800
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 16, 2005
Last NPPES UpdateOctober 12, 20235 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1629050554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in NJ · 25MA04848400 Licensed in IN · 01085335A
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedSpecialistTaxonomy 174400000X · License MA48484 (NJ)
1140 ROUTE 72 W, Manahawkin, NJ 08050

Other Identifiers 1

Medicaid9082506NJ

Accepted Insurance

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

Dr. Tommasina Papa-rugino M.d. 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 ID5597787010
PECOS Enrollment IDI20210402000228
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 4

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.
203 services166 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.
178 services141 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.
163 services163 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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 20

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

Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Specialist
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Specialist
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Skilled Nursing Facility
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050

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 Tommasina Papa-rugino's NPI number?

The NPI number for Tommasina Papa-rugino is 1629050554. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Tommasina Papa-rugino located?

Tommasina Papa-rugino practices at 1140 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 978-8900.

What is Tommasina Papa-rugino's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Tommasina Papa-rugino enrolled in Medicare?

Yes. Tommasina Papa-rugino 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.

What insurance does Tommasina Papa-rugino accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Tommasina Papa-rugino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tommasina Papa-rugino affiliated with any hospitals?

According to CMS data, Tommasina Papa-rugino is affiliated with Franciscan Health Michigan City, Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Tommasina Papa-rugino was last updated on October 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.