Joel Michael Rutenberg, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C10006623 Issued in DE

Practice address

1074 S State St
Dover, DE 19901

Phone

(302) 678-8100

Fax

(302) 346-2480

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1346247723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199016925",
            "telephone_number": "302-678-8100",
            "fax_number": "302-346-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-678-8100",
            "fax_number": "302-346-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTENBERG",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "DE",
            "license": "C10006623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015850",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Ashley Russell
• Karen J Russell, NP
• Patricia Russell
• Cindy Russo
• Taryn Russo, LCSW
• Christian John Ruth, PA-C
• Shannon R Rutland, RN
• Rxpathway LLC
• Kelly Ryan, APRN, FNP-C
• Tristan Rybicki

• Neurology Physician in Dover, DE
• Providers in Dover, DE by specialty
• Neurology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.