NPIMap

Organization Active NPI

Russell E Rider, MD

  • Family Medicine Physician
  • Newcomb, NY
National Provider Identifier
1346415387
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1712652
Legal business name
RUSSELL E RIDER, MD
Practice address
4 Santanoni Dr
Newcomb, NY 12852-1913
Phone
(518) 582-2991
NPI assigned
Apr 29, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Russell E Rider, MDNPI 1245244649
Title
MD
Phone
(518) 582-2991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1712652 Primary

Addresses

Primary practice location

4 Santanoni Dr
Newcomb, NY 12852-1913

Mailing address

4 Santanoni Dr
Newcomb, NY 12852-1913
Phone (518) 582-2991

National Provider Directory

National Provider Directory

Locations

4 Santanoni Dr
Newcomb, NY 12852
Phone (518) 582-2991

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2469/brand/4/csg/23/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1346415387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANTANONI DR",
            "city": "NEWCOMB",
            "state": "NY",
            "postal_code": "128521913",
            "telephone_number": "518-582-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANTANONI DR",
            "city": "NEWCOMB",
            "state": "NY",
            "postal_code": "128521913",
            "telephone_number": "518-582-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL E RIDER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "518-582-2991",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": "1712652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newcomb, NY

Sources for this page

  • 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.