Bruce A Rudin, D.P.M.

Key facts

NPI

1851492086

Entity type

Individual (NPI type 1)

Primary specialty

Podiatrist 213E00000X

License

003432 (NY)

Practice address

101 Hillside Ave
Williston Park, NY 11596-2347

Phone

(516) 746-7245

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

Medicare Care Compare profile

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851492086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962347",
            "telephone_number": "516-746-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HILLSIDE AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962347",
            "telephone_number": "516-746-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "BRUCE",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763039",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

• Martin Dennis Ronan, PA-C
• Michael Steven Rothberg, D.D.S
• Glen W Rowell, PT MA OCS
• Susan Rubenstein, PHD
• Jennifer Elyse Rubin, PHARMD
• Jessica Rupp, MS
• Russell Hu Physical Therapy
• Cathleen P Russo, LMT
• Maura N Ryan, RN
• S.E.E.D.S. of the Willistons Inc.

All providers in Williston Park, NY · Podiatrist in New York