Active NPI
Joseph G. Rusnak, MD
- Vascular & Interventional Radiology Physician
- Buffalo, NY
National Provider Identifier
1326010216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 184871
- Practice address
- 565 Abbott Rd
Buffalo, NY 14220 - Phone
- (716) 649-9000
- Fax
- (716) 649-9005
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 184871 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 184871 | NY |
Addresses
Primary practice location
565 Abbott Rd
Buffalo, NY 14220
Mailing address
3040 Amsdell Rd
Hamburg, NY 14075-5835
Phone (716) 649-9000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146158FF | Other | NY | PREFERRED CARE |
| 00010152406 | Other | NY | UNIVERA HEALTHCARE |
| 000511365004 | Other | NY | BCBS |
| 040426001486 | Other | NY | FIDELIS OF NEW YORK |
| 01248315 | Medicaid | NY | |
| 1609206 | Other | NY | INDEPENDENT HEALTH |
| 300080551 | Other | NY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184871 | NY | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuclear Medicine Associates RLLP | Past | Accepting new patients | |
| Southtowns Radiology Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nuclear Radiology Physician
- Buffalo, NY
- NPI 1609885904
-
- Diagnostic Radiology Physician
- Hamburg, NY
- NPI 1629108063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1326010216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 AMSDELL RD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140755835",
"telephone_number": "716-649-9000",
"fax_number": "716-649-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-649-9000",
"fax_number": "716-649-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSNAK",
"first_name": "JOSEPH",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NY",
"license": "184871",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "184871",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "146158FF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00010152406",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000511365004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS OF NEW YORK",
"identifier": "040426001486",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01248315",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1609206",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300080551",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.