Active NPI
Andrew J. Rurka, MD
- Pediatrics Physician
- Syracuse, NY
National Provider Identifier
1457499527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 115546
- Legal business name
- ANDREW J. RURKA, MD
- Practice address
- 1200 E Genesee St
Suite 310
Syracuse, NY 13210-1968 - Phone
- (315) 475-6101
- Fax
- (315) 475-1827
- NPI assigned
- Feb 2, 2007
- Last updated
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew J Rurka, M.D.
- Title
- Medical Director
- Phone
- (315) 475-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 115546 | NY | Primary |
Addresses
Primary practice location
1200 E Genesee St
Suite 310
Syracuse, NY 13210-1968
Mailing address
1200 E Genesee St
Suite 310
Syracuse, NY 13210-1968
Phone (315) 475-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00547008 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1457499527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E GENESEE ST",
"address_2": "SUITE 310",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101968",
"telephone_number": "315-475-6101",
"fax_number": "315-475-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E GENESEE ST",
"address_2": "SUITE 310",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101968",
"telephone_number": "315-475-6101",
"fax_number": "315-475-1827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW J. RURKA, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "RURKA",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "315-475-6101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "115546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00547008",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.