Individual provider Active NPI

Caterine Liset Garcia-Ruderman, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1467704239
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337413 Issued in NY
Practice address
222 Alexander St
Suite 1100
Rochester, NY 14607-4039
Phone
(585) 922-8585
Fax
(585) 922-8555
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 337413 NY Primary

Addresses

Primary practice location

222 Alexander St
Suite 1100
Rochester, NY 14607-4039

Mailing address

165 Yarmouth Rd
Rochester, NY 14610-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000303 NY Practitioner - Nurse Practitioner 0648425066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Associates of Rochester PCGroup PAC ID 0749375442, 7 clinicians

Practice addresses (Care Compare)

20 Hagen Dr
Suite 300
Rochester, NY 14625-2664
Phone 5855867550101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
337413NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Oct 1, 2012 Accepting new patients
Neurology Associates of Rochester PC CurrentSince Jan 1, 2023 Accepting new patients
The Unity Hospital of Rochester CurrentSince Dec 10, 2020 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

20 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 586-7550

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

222 Alexander St
Ste 1100
Rochester, NY 14607
Phone (585) 922-8585

Interoperability endpoints

  • Direct secure messaging: caterinegarciaruderman@neurologyassociates.medentdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1467704239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 YARMOUTH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "address_2": "SUITE 1100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074039",
            "telephone_number": "585-922-8585",
            "fax_number": "585-922-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-RUDERMAN",
        "first_name": "CATERINE",
        "middle_name": "LISET",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.