Active NPI
Richard Rouder, DPM, PC
Doing business as Si Podiatry
- Foot Surgery Podiatrist
- Staten Island, NY
National Provider Identifier
1205876018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N005371
- Legal business name
- RICHARD ROUDER, DPM, PC
- Doing business as
- Si Podiatry
- Practice address
- 1855 Richmond Ave
Staten Island, NY 10314-3912 - Phone
- (718) 556-5550
- Fax
- (718) 556-7868
- NPI assigned
- Jun 8, 2006
- Last updated
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Rouder, DPM
- Title
- President
- Phone
- (718) 556-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N005371 | NY | Primary |
Addresses
Primary practice location
1855 Richmond Ave
Staten Island, NY 10314-3912
Mailing address
1855 Richmond Ave
Staten Island, NY 10314-3912
Phone (718) 556-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05402 | Other | NY | GHI MEDICARE |
Other names 1
- SI PODIATRY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1500 Victory Blvd
Staten Island, NY 10301
Phone (718) 556-5550
1855 Richmond Ave
Ste 104
Staten Island, NY 10314
Phone (718) 556-5550
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Foot Surgery Podiatrist
- Staten Island, NY
- NPI 1598704488
-
- Foot & Ankle Surgery Podiatrist
- Staten Island, NY
- NPI 1104350776
-
- Physical Therapist
- Staten Island, NY
- NPI 1043521396
-
- Podiatrist
- Brooklyn, NY
- NPI 1245469196
-
- Podiatrist
- Franklin Lakes, NJ
- NPI 1790794238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1205876018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143912",
"telephone_number": "718-556-5550",
"fax_number": "718-556-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143912",
"telephone_number": "718-556-5550",
"fax_number": "718-556-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD ROUDER, DPM, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "ROUDER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-556-5550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N005371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI MEDICARE",
"identifier": "05402",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SI PODIATRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Staten Island, NY
- Richard Bodian, PT (One On One Physical Therapy)
- Richard Bodian, PT (One On One Physical Therapy)
- Richard Bodian, PT (One On One Physical Therapy)
- Richard Bodian,PT (One On One Physical Therapy)
- Richard Lapinsky
- Faith Richard, LPN
- Ahjalee Xenobia Richard716
- Devan Nicole Richards, OTR
- Marling Richards, LCSW
- Monique Chanel Richards, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.