Healthcare Provider Details

I. General information

NPI: 1376453399
Provider Name (Legal Business Name): DR. SHEILA RUGNAO M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTRAL AVE
EAST ORANGE NJ
07018-2819
US

IV. Provider business mailing address

41 WATCHUNG PLZ # 216
MONTCLAIR NJ
07042-4117
US

V. Phone/Fax

Practice location:
  • Phone: 973-951-3816
  • Fax: 973-834-6728
Mailing address:
  • Phone: 973-951-3816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEILA RHANDI RUGNAO
Title or Position: PRESIDENT
Credential: MD
Phone: 415-624-5306