Healthcare Provider Details

I. General information

NPI: 1932094836
Provider Name (Legal Business Name): ALLARA MEDICAL GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BROADWAY FL 7
NEW YORK NY
10012-4436
US

IV. Provider business mailing address

520 BROADWAY FL 7
NEW YORK NY
10012-4436
US

V. Phone/Fax

Practice location:
  • Phone: 201-564-5109
  • Fax:
Mailing address:
  • Phone: 201-564-5109
  • Fax: 240-201-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: JORDANA RUTIGLIANO
Title or Position: SR. DIRECTOR
Credential:
Phone: 201-564-5109