Organization Active NPI

Bustleton Podiatry Associates PC

  • Podiatrist
  • Phila, PA
National Provider Identifier
1780730713
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001676L Issued in PA
Legal business name
BUSTLETON PODIATRY ASSOCIATES PC
Practice address
7936 Bustleton Ave
Phila, PA 19152-3321
Phone
(215) 725-6642
Fax
(215) 725-5834
NPI assigned
Jan 25, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Dean M Ruday, DPM
Title
President
Phone
(215) 725-6642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001676L PA Primary

Addresses

Primary practice location

7936 Bustleton Ave
Phila, PA 19152-3321

Mailing address

7936 Bustleton Ave
Phila, PA 19152-3321
Phone (215) 725-6642

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1780730713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 BUSTLETON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191523321",
            "telephone_number": "215-725-6642",
            "fax_number": "215-725-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 BUSTLETON AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191523321",
            "telephone_number": "215-725-6642",
            "fax_number": "215-725-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSTLETON PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "RUDAY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-725-6642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001676L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.