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DR. MARTIN RUDOLPH DPM PC NPI 1588941819


NPI Information

NPI: 1588941819
Provider Name: DR. MARTIN RUDOLPH DPM PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
551 CENTRAL AVE
SUITE 21A
CEDARHURST, NY
ZIP 11516
Phone: (516) 569-3009
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DR. MARTIN RUDOLPH DPM PC is a podiatrist in Cedarhurst, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. MARTIN RUDOLPH DPM PC NPI is 1588941819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

551 CENTRAL AVE
SUITE 21A
CEDARHURST, NY
ZIP 11516-192
Phone: (516) 569-3009

The provider's authorized official is Martin Rudolph .
The authorized official title is Doctor and has the following contact phone number (516) 594-0608.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist025119NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106499MEDICARE PINNEW YORK
200414475MEDICAIDNEW YORK
3T50778MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.