Rustom a Rastinehad PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

1137281 Issued in NY

Legal business name

RUSTOM A RASTINEHAD PC

Practice address

271 W Circular St
Saratoga Springs, NY 12866-6012

Phone

(518) 587-8421

Fax

(518) 587-8423

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Rustom Ardeshir Rastinehad, M.D.

Title

President

Phone

(518) 587-8421

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1215109848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 W CIRCULAR ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666012",
            "telephone_number": "518-587-8421",
            "fax_number": "518-587-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 W CIRCULAR ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666012",
            "telephone_number": "518-587-8421",
            "fax_number": "518-587-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTOM A RASTINEHAD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "RASTINEHAD",
        "authorized_official_first_name": "RUSTOM",
        "authorized_official_middle_name": "ARDESHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-587-8421",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "1137281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000405240001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00376178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "24108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "46319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMP. BLUE CROSS",
            "identifier": "95117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Ruckert, DDS
• Rae Tieder Rudat, PT
• Cecilia P. Ruelos, M.D.
• Jennifer Runkel, PT
• Marissa Russell, LCSW
• Kellen Ryan, PA
• Kathryn A. Sabo, PA-C
• Andreana Saffi Biasetti, R-LCSW
• Denise Marie Salage, LCSW
• Amanda Salamon, OTR/L

• Urology Physician in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.