Organization Active NPI

Ruotsi and Bertolino, MD PC

  • Family Medicine Physician
  • Lewiston, NY
National Provider Identifier
1639155351
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180670 Issued in NY
Legal business name
RUOTSI AND BERTOLINO, MD PC
Practice address
5320 Military Rd
Suite #104
Lewiston, NY 14092-2149
Phone
(716) 297-1153
Fax
(716) 297-5458
NPI assigned
Dec 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Mrs. Francine R Warner
Title
Office Manager
Phone
(716) 297-1153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 180670 NY Primary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 175439 NY

Addresses

Primary practice location

5320 Military Rd
Suite #104
Lewiston, NY 14092-2149

Mailing address

5320 Military Rd
Suite #104
Lewiston, NY 14092-2149
Phone (716) 297-1153

Other identifiers 6

IdentifierTypeStateIssuer
9511968OtherNYIHA
0106422OtherNYIHA
00010152201OtherNYUNIVERA
00026547001OtherNYUNIVERA
0106423OtherNYIHA
00010015801OtherNYUNIVERA

National Provider Directory

National Provider Directory

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": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1639155351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "SUITE #104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-1153",
            "fax_number": "716-297-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "SUITE #104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-1153",
            "fax_number": "716-297-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUOTSI AND BERTOLINO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-297-1153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "180670",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9511968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0106422",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010152201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026547001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0106423",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010015801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.