Organization Active NPI

Frederick Rutkovsky MD PC

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1124280458
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
176798 Issued in NY
Legal business name
FREDERICK RUTKOVSKY MD PC
Practice address
205 E 76TH St FL M2
New York, NY 10021-2147
Phone
(212) 452-2800
Fax
(212) 879-2063
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. Frederick Rutkovsky, MD
Title
Doctor
Phone
(212) 452-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 176798 NY
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 176798 NY Primary

Addresses

Primary practice location

205 E 76TH St FL M2
New York, NY 10021-2147

Mailing address

205 E 76TH St FL M2
New York, NY 10021-2147
Phone (212) 452-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1124280458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST FL M2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-452-2800",
            "fax_number": "212-879-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST FL M2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-452-2800",
            "fax_number": "212-879-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK RUTKOVSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "RUTKOVSKY",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-452-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176798",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "176798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.