Active NPI
Lancaster Depew Podiatry GRP
- Podiatrist
- Lancaster, NY
National Provider Identifier
1487832119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2795
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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 DirectoryLocations
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.
-
- Podiatrist
- Niagara Falls, NY
- NPI 1093778565
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.