Robert Joseph Rudewicz, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

002795 Issued in NY

Practice address

5429 Broadway
Lancaster, NY 14086-2123

Phone

(716) 684-1010

Fax

(716) 684-1011

NPI assigned

Jan 13, 2007

Last updated

Feb 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lancaster Depew Podiatry GRP

  • Podiatrist
  • Lancaster, NY
  • NPI 1487832119
  Authorized official Same address or phone

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1891846218",
    "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": "716-836-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 BROADWAY",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862123",
            "telephone_number": "716-684-1010",
            "fax_number": "716-684-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEWICZ",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BUFFALO",
            "identifier": "000507615001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-LANCASTER",
            "identifier": "005076153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA-LANCASTER",
            "identifier": "00010254202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID-BUFFALO",
            "identifier": "16-1140534",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAD MEDICAR-LANCASTER",
            "identifier": "CF7099",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID-LANCASTER",
            "identifier": "16-1100783",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA-BUFFALO",
            "identifier": "00010254201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-BUFFALO",
            "identifier": "CF7829",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Roland
• Ronald M Braun DC,PC
• Denise L Rotella, PHARM.D.
• David L Round
• Andrea R Row, MHC-LP
• Ashley Ruhland
• Amy Ryskalczyk, LPN
• Salah Nurse Practitioner in Psychiatry, PLLC
• Troy John Sasse, D.O.
• Robert Schenk

• Podiatrist in Lancaster, NY
• Providers in Lancaster, NY by specialty
• Podiatrist in New York

• 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.

Verify at the official NPI Registry.