Individual provider Active NPI

Stanley J Rutstein, DPM

  • Podiatrist
  • West Hartford, CT
National Provider Identifier
1962479303
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P000385 Issued in CT
Practice address
16 Miamis Rd
West Hartford, CT 06117-2223
Phone
(860) 523-0485
Fax
(860) 523-0756
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P000385 CT Primary

Addresses

Primary practice location

16 Miamis Rd
West Hartford, CT 06117-2223

Mailing address

16 Miamis Rd
West Hartford, CT 06117-2223
Phone (860) 523-0485

Other identifiers 1

IdentifierTypeStateIssuer
004061800MedicaidCT

Other names 1

  • Dr. Stanley J Rutstein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000355 CT Practitioner - Podiatry 1254409733 Practice locations: West Hartford, CT; Avon, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P000385CTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Community Homecare Services, Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731196800000",
    "number": "1962479303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MIAMIS RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172223",
            "telephone_number": "860-523-0485",
            "fax_number": "860-523-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MIAMIS RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172223",
            "telephone_number": "860-523-0485",
            "fax_number": "860-523-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTSTEIN",
        "first_name": "STANLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "P000385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004061800",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STANLEY",
            "last_name": "RUTSTEIN",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.