Active NPI
Samuel Richard Budenstein, D.P.M.
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1386621951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002557L
- Practice address
- 1925 Welsh Rd
Philadelphia, PA 19115-4659 - Phone
- (215) 677-5120
- NPI assigned
- Dec 27, 2005
- 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 | SC002557L | PA | Primary |
Addresses
Primary practice location
1925 Welsh Rd
Philadelphia, PA 19115-4659
Mailing address
PO Box 14560
Philadelphia, PA 19115-0560
Phone (215) 677-5120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0910561 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000634 | PA | Practitioner - Podiatry | 6800084278 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1386621951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14560",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191150560",
"telephone_number": "215-677-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WELSH RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191154659",
"telephone_number": "215-677-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDENSTEIN",
"first_name": "SAMUEL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002557L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0910561",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.