Individual provider Active NPI

Paul Chester Rutkowski, M.D.

  • Ophthalmology Physician
  • Harrison, NY
National Provider Identifier
1629062989
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
094313 Issued in NY
Practice address
282 Harrison Ave
Harrison, NY 10528-3328
Phone
(914) 835-1031
Fax
(914) 835-3601
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 094313 NY Primary

Addresses

Primary practice location

282 Harrison Ave
Harrison, NY 10528-3328

Mailing address

282 Harrison Ave
Harrison, NY 10528-3328
Phone (914) 835-1031

Other identifiers 1

IdentifierTypeStateIssuer
00155055MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060524000070 NY Practitioner - Ophthalmology 1052322450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
094313NYMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: paulr@paul.curemd.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629062989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 HARRISON AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105283328",
            "telephone_number": "914-835-1031",
            "fax_number": "914-835-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 HARRISON AVE",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105283328",
            "telephone_number": "914-835-1031",
            "fax_number": "914-835-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "PAUL",
        "middle_name": "CHESTER",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "094313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00155055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.