Active NPI
Lauren Elizabeth Rutkoski, PA-C
- Physician Assistant
- Williamsville, NY
National Provider Identifier
1992746341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018291
- Practice address
- 5144 Sheridan Dr
Suite 5
Williamsville, NY 14221-4648 - Phone
- (716) 632-2311
- Fax
- (716) 632-3140
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018291 | NY | Primary |
Addresses
Primary practice location
5144 Sheridan Dr
Suite 5
Williamsville, NY 14221-4648
Mailing address
5144 Sheridan Dr
Suite 5
Williamsville, NY 14221-4648
Phone (716) 632-2311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4949 Main St
Amherst, NY 14226-4013
Phone (716) 970-4140
4949 Main St
Amherst, NY 14226-4070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Dermatology Physician
- Amherst, NY
- NPI 1679937916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473811200000",
"number": "1992746341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5144 SHERIDAN DR",
"address_2": "SUITE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214648",
"telephone_number": "716-632-2311",
"fax_number": "716-632-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5144 SHERIDAN DR",
"address_2": "SUITE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214648",
"telephone_number": "716-632-2311",
"fax_number": "716-632-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTKOSKI",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2016-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.