Doctor profile · Federal record
Dr. Russell Ridulfo, PA
Physician Assistant · Nesconset, NY
- NPI 1407697683
- Accepts Medicare
- 2 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12 Maple Glen Ln
Nesconset, NY 117671712
(631) 942-0295
Credentials & registration
- NPI registered
- June 2024 — 2 yrs on file
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1407697683. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$113
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 1 | $112.70 |
By nature of payment
Frequently asked questions
What is Dr. Russell Ridulfo's medical specialty?
Dr. Russell Ridulfo practices Physician Assistant in Nesconset, NY.
Where does Dr. Russell Ridulfo practice?
Dr. Russell Ridulfo practices at 12 Maple Glen Ln, Nesconset, NY 117671712. Office phone: 6319420295.
What is Dr. Russell Ridulfo's NPI?
Dr. Russell Ridulfo's National Provider Identifier (NPI) is 1407697683, issued by NPPES.
Does Dr. Russell Ridulfo accept Medicare assignment?
Yes. Dr. Russell Ridulfo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.