Organization Active NPI

Needham Podiatry P.C.

  • Foot & Ankle Surgery Podiatrist
  • Needham, MA
National Provider Identifier
1114113503
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2069 Issued in MA
Legal business name
NEEDHAM PODIATRY P.C.
Practice address
464 Hillside Ave Ste 302
Needham, MA 02494-1228
Phone
(781) 444-1129
Fax
(781) 444-3666
NPI assigned
Sep 19, 2007
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Dr. Daniel M Rutowicz, DPMNPI 1467532812
Title
Podiatrist
Phone
(781) 444-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2069 MA Primary

Addresses

Primary practice location

464 Hillside Ave Ste 302
Needham, MA 02494-1228

Mailing address

464 Hillside Ave Ste 302
Needham, MA 02494-1228
Phone (781) 444-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060406000502 MA Part B Supplier - Clinic/Group Practice 0042229817 Receives reassigned benefits from 2 practitioners
Practice locations: Needham, MA
O20100930030945 MA DME Supplier - Physician - Podiatry 0042229817 Practice locations: Needham, MA

National Provider Directory

National Provider Directory

Locations

450 Washington St
Dedham, MA 02026
Phone (781) 329-7311

450 Washington St
#2
Dedham, MA 02026
Phone (781) 461-8645

464 Hillside Ave
Ste 302
Needham, MA 02494
Phone (781) 444-1129

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15947/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1114113503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE STE 302",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941228",
            "telephone_number": "781-444-1129",
            "fax_number": "781-444-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HILLSIDE AVE STE 302",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941228",
            "telephone_number": "781-444-1129",
            "fax_number": "781-444-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEEDHAM PODIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "RUTOWICZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "781-444-1129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.