Organization Active NPI

Rutman Medical PLLC

  • Sports Medicine (Emergency Medicine) Physician
  • Miller Place, NY
National Provider Identifier
1265090674
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
Legal business name
RUTMAN MEDICAL PLLC
Practice address
148 Natures LN
Miller Place, NY 11764-3137
Phone
(917) 207-2684
NPI assigned
May 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Matthew C Rutman, DO
Title
Owner
Phone
(917) 207-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207PS0010X Primary

Addresses

Primary practice location

148 Natures LN
Miller Place, NY 11764-3137

Mailing address

148 Natures LN
Miller Place, NY 11764-3137
Phone (917) 207-2684

National Provider Directory

National Provider Directory

Locations

799 Deer Park Ave
North Babylon, NY 11703
Phone (631) 587-0872

640 Belle Terre Rd
Bldg F
Port Jefferson, NY 11777
Phone (631) 509-5410

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1265090674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NATURES LN",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643137",
            "telephone_number": "917-207-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 NATURES LN",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643137",
            "telephone_number": "917-207-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTMAN MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "RUTMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-207-2684",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.