Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phillip Ruisi, DO

Individual provider Cardiovascular Disease Physician · NPI 1720249618

Phillip Ruisi, DO is a Cardiovascular Disease (Cardiology) in Mountain Lakes, New Jersey. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2008, 18 years ago. Practices with Practice Associates Medical Group, a 1,403-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

415 Blvd
Mountain Lakes, NJ 07046-1723
Phone: (973) 334-7700
Fax: (973) 402-5847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 253954-1 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 253954-1 (NY)

Record details

NPI number1720249618
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 23, 2008
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021
Mailing addressPo Box 416457, Boston, MA 02241-6457

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2008 (18 years in practice)
Group practice Practice Associates Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Mountain Lakes