Lisa Rosner Rutkovsky, MD. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

151517 Issued in NY

Legal business name

LISA ROSNER RUTKOVSKY, MD. PC

Practice address

14223 Booth Memorial Ave
Flushing, NY 11355-5343

Phone

(718) 460-9776

Fax

(347) 368-6486

NPI assigned

Mar 6, 2012

Last updated

Mar 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Rosner Rutkovsky, MD. PC

Title

Pediatric Cardiology

Phone

(718) 460-9776

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1083988299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14223 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555343",
            "telephone_number": "718-460-9776",
            "fax_number": "347-368-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14223 BOOTH MEMORIAL AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555343",
            "telephone_number": "718-460-9776",
            "fax_number": "347-368-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA ROSNER RUTKOVSKY, MD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "RUTKOVSKY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ROSNER",
        "authorized_official_title_or_position": "PEDIATRIC CARDIOLOGY",
        "authorized_official_telephone_number": "718-460-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD. PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "151517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Flushing, NY
• Providers in Flushing, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.