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ANDREW J RIBAUDO RPA C
NPI 1770574246
Physician Assistant in Shoreham, NY

Active since November 02, 2005PECOS Enrolled
54 WOODVILLE RD, SHOREHAM, NY 11786(631) 929-1256(631) 929-8313 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Andrew J Ribaudo Rpa C NPPES

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

ANDREW J RIBAUDO RPA C (NPI 1770574246) is an individual physician assistant in Shoreham, New York and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770574246
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW J RIBAUDOCredential: RPA C
Location Address54 WOODVILLE RDShoreham, NY 11786-1331
Mailing Address185 Old Country Rd Ste 2Riverhead, NY 11901-2121 · (631) 298-4479 · Fax (631) 591-3047
Phone(631) 929-1256
Fax(631) 929-8313
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1770574246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
54 WOODVILLE RD, Shoreham, NY 11786
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew J Ribaudo Rpa C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11786 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 4

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

MISS DANIELLE FAYE STOEBE RPA-C
Physician Assistant
54 WOODVILLE RD
SHOREHAM, NY 11786
Suffolk County (631) 929-1256
SOUND FAMILY MEDICINE PC
Family Medicine
54 WOODVILLE RD
SHOREHAM, NY 11786
Suffolk County (631) 929-1256
RICHARD KUBIAK MD
Internal Medicine
54 WOODVILLE RD
SHOREHAM, NY 11786
Suffolk County (631) 929-1256
DR. GEORGE RICHARD RUGGIERO DO
Family Medicine
54 WOODVILLE RD
SHOREHAM, NY 11786
Suffolk County (631) 929-1256

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 Andrew Ribaudo's NPI number?

The NPI number for Andrew Ribaudo is 1770574246. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Andrew Ribaudo located?

Andrew Ribaudo practices at 54 Woodville Rd, Shoreham, NY 11786. The listed phone number is (631) 929-1256.

What is Andrew Ribaudo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Ribaudo enrolled in Medicare?

Yes. Andrew Ribaudo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Ribaudo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.