Active NPI
Joel Gordon Rait, D.P.M.
- Podiatrist
- Amherst, NY
National Provider Identifier
1265590376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 004791
- Practice address
- 106 Rockdale Dr
Amherst, NY 14228-3439 - Phone
- (888) 718-7069
- Fax
- (888) 718-7069
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 004791 | NY | Primary |
Addresses
Primary practice location
106 Rockdale Dr
Amherst, NY 14228-3439
Mailing address
106 Rockdale Dr
Amherst, NY 14228-3439
Phone (888) 718-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000789 | NY | Practitioner - Podiatry | 3971541509 | Practice locations: Amherst, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
451 Kaymar Dr
Amherst, NY 14228-3060
Phone (888) 718-7069
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 200 |
| Removal or shaving of skin growth | 169 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004791 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265590376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ROCKDALE DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142283439",
"telephone_number": "888-718-7069",
"fax_number": "888-718-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ROCKDALE DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142283439",
"telephone_number": "888-718-7069",
"fax_number": "888-718-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIT",
"first_name": "JOEL",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "004791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.