Diane Rutkowsky, M.A.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

001371-1 Issued in NY

Practice address

28 N. Country Rd.
Suite 201
Mt. Sinai, NY 11766

Phone

(631) 403-4885

Fax

(631) 425-4670

NPI assigned

Feb 5, 2007

Last updated

Aug 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Shore Hearing, P.C.

  • Audiologist-Hearing Aid Fitter
  • Shoreham, NY
  • NPI 1548546807
  Medicare reassignment
• Ear Works Audiology PC

  • Audiologist
  • Nesconset, NY
  • NPI 1851584841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1033258363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SHERWOOD DRIVE",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "11786",
            "telephone_number": "631-403-4885",
            "fax_number": "631-425-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N. COUNTRY RD.",
            "address_2": "SUITE 201",
            "city": "MT. SINAI",
            "state": "NY",
            "postal_code": "11766",
            "telephone_number": "631-403-4885",
            "fax_number": "631-425-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKY",
        "first_name": "DIANE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001371-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000007431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "M7571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Reynolds, M.S. ED
• Robert B Marder Physical Therapy PC
• Ivonne Marta Romero, LCSW
• Annemarie Ronan Henninger, MS PT
• Stephanie Russell, OTR/L
• Socorro Rutman
• Christina Salgado, PT
• Jennifer Anne Saul, FNP
• Michele Scalamandre, RN
• Doreen Schaal, LPN

• Audiologist in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.