Organization Active NPI

Lancaster Depew Podiatry GRP

  • Podiatrist
  • Lancaster, NY
National Provider Identifier
1487832119
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2795 Issued in NY
Legal business name
LANCASTER DEPEW PODIATRY GRP
Practice address
5429 Broadway St
Lancaster, NY 14086-2123
Phone
(716) 684-1010
Fax
(716) 684-1011
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Mr. Robert Joseph Rudewicz, D.P.M.
Title
Owner
Phone
(716) 684-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 2795 NY Primary

Addresses

Primary practice location

5429 Broadway St
Lancaster, NY 14086-2123

Mailing address

5429 Broadway St
Lancaster, NY 14086-2123
Phone (716) 684-1010

National Provider Directory

National Provider Directory

Locations

5429 Broadway St
Lancaster, NY 14086
Phone (716) 684-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1487832119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862123",
            "telephone_number": "716-684-1010",
            "fax_number": "716-684-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862123",
            "telephone_number": "716-684-1010",
            "fax_number": "716-684-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER DEPEW PODIATRY GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "RUDEWICZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-684-1010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.