Active NPI
Norman F. Ruttenberg, DO
- Neuroradiology Physician
- East Norriton, PA
National Provider Identifier
1073563540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- OS002362L
- Practice address
- 559 W Germantown Pike
East Norriton, PA 19403-4250 - Phone
- (484) 622-0700
- Fax
- (484) 622-0643
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | OS002362L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | OS002362L | PA |
Addresses
Primary practice location
559 W Germantown Pike
East Norriton, PA 19403-4250
Mailing address
PO Box 820137
Philadelphia, PA 19182-0137
Phone (610) 270-2355
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041868 | Other | PA | HIGHMARK BLUE SHIELD |
| 300138321 | Other | PA | RRM |
| 0057244000 | Other | PA | IBC - PC/KHPE |
| 30005645 | Other | PA | KEYSTONE MERCY |
| 4294628 | Other | PA | AETNA |
| 00574244000 | Other | PA | AMERIHEALTH/INTERCOUNTY |
| 08722-OS002362L | Other | PA | HEALTH PARTNERS |
| 5654278 | Other | PA | CIGNA HMO/PPO |
| 0006414180003 | Medicaid | PA | |
| 0064141804 | Other | PA | AMERICHOICE (UHC MA PLAN) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002362L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a. Diliberto, D.O. | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| MRI Physician Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
| Delco Radiologic Associates | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Drexel Hill, PA
- NPI 1134576507
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1093786410
-
- Diagnostic Radiology Physician
- Philadelphia, PA
- NPI 1366501637
-
- Diagnostic Radiology Physician
- Drexel Hill, PA
- NPI 1619998622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1073563540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820137",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191820137",
"telephone_number": "610-270-2355",
"fax_number": "610-270-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 W GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194034250",
"telephone_number": "484-622-0700",
"fax_number": "484-622-0643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTTENBERG",
"first_name": "NORMAN",
"middle_name": "F.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "OS002362L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "OS002362L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "041868",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "300138321",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC - PC/KHPE",
"identifier": "0057244000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30005645",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4294628",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/INTERCOUNTY",
"identifier": "00574244000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "08722-OS002362L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HMO/PPO",
"identifier": "5654278",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006414180003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE (UHC MA PLAN)",
"identifier": "0064141804",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.