RICHARD ROUDER, DPM, PC


Address: 1855 Richmond Ave, Staten Island, NY 10314-3912
Phone: 7185565550

RICHARD ROUDER, DPM, PC (NPI# 1205876018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205876018
Entity Type Organization
Organization Name RICHARD ROUDER, DPM, PC
Other Organization Name SI PODIATRY
Practice Address 1855 Richmond Ave
Staten Island
NY 10314-3912
Practice Telephone 7185565550
Practice Fax Number 7185567868
Mailing Telephone 7185565550
Mailing Fax Number 7185567868
Enumeration Date 2006-06-08
Last Update Date 2008-07-28
Authorized Official Name DR. RICHARD ROUDER (PRESIDENT)
Authorized Official Telephone 7185565550
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
N005371 NY Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY GHI MEDICARE 05402 01

Other Provider/Organization Names

Other Name Type Code
SI PODIATRY Doing Business As Name - Organization

Office Location

Street Address 1855 RICHMOND AVE
City STATEN ISLAND
State NY
Zip Code 10314-3912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285635565 Tamara Sibalic-mandic Internal Medicine 1855 Richmond Ave, Suite 102, Staten Island, NY 10314-3940 2005-08-09
1538717079 In Balance Physical Therapy, Pllc Clinic/Center 1855 Richmond Ave, Staten Island, NY 10314-3940 2019-08-28
1447732649 Audiology Services Company Usa, LLC Audiologist-Hearing Aid Fitter 1855 Richmond Ave, Staten Island, NY 10314-3940 2018-09-04
1760700843 Azalesha Abrahim Rodriguez Physician Assistant 1855 Richmond Ave, Staten Island, NY 10314-3940 2010-05-13
1477703130 Michael Hamlen Campanella Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314 2008-09-30
1033225370 David M Herzog Md PC Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-08-21
1174574651 Gwenn Lentine Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-05-12
1487618468 David M Herzog Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-04-14
1225098866 Saam A Miller Obstetrics & Gynecology 1855 Richmond Ave, Staten Island, NY 10314-3909 2006-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076255 Edward Leccese Massage Therapist 77 Renee Place, Staten Island, NY 10314 2020-09-01
1871154633 Matthew Richard Puliatti Counselor 1688 Victory Boulevard, Staten Island, NY 10314 2019-06-24
1750845137 Miriam Gordon Pediatric Np PC Nurse Practitioner 7 Ismay Street, Staten Island, NY 10314 2019-01-30
1003391186 2791 Richmond LLC Dentist 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 2018-09-25
1477046522 Miriam A Madry Optometrist 569 Woolley Ave, Staten Island, NY 10314 2018-06-13
1174025894 Staten Island Dentistry P.C. Clinic/Center 979 Willowbrook Rd., Staten Island, NY 10314 2018-03-08
1205335023 Ashley Larsen Early Intervention Provider Agency 229 Wellington Ct, Staten Island, NY 10314 2018-02-07
1306369699 Victoria Ali Behavior Technician 228 Melvin Avenue, Staten Island, NY 10314 2017-07-19
1700307360 Lydia Mora Specialist 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 2017-07-03
1366971707 Lisa Pietracatella Massage Therapist 92 Margaretta Court, Staten Island, NY 10314 2017-06-08
Find all providers in zip 10314

Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760709505 Richmond Podiatry Associates Podiatrist 4243 Richmond Ave., Staten Island, NY 10312-6238 2010-05-03
1295903144 Steven Gregory Karasik Podiatrist 100 Seaview Ave, Staten Island, NY 10304-2836 2008-02-13
1982769477 Aluko Osafo Jervis Podiatrist 295 Myrtle Ave, Staten Island, NY 10310-2332 2006-12-26
1144319864 Anthony D Olivieri Podiatrist 3371 Richmond Ave, Staten Island, NY 10312-2025 2006-10-12
1952344673 Stephen Smirlock Podiatrist 1025 Armstrong Ave, Staten Island, NY 10308-1210 2006-06-13
1184699795 Gary Bartholomew Gugliada Podiatrist 89 Cromwell Ave, Staten Island, NY 10304-3944 2006-02-18
1174505630 Ravi Kaizer Kamble Podiatrist 2338 Richmond Rd, Staten Island, NY 10306-2346 2005-11-18
1861876328 Christal D Charbonnet, Dpm P.C. Podiatrist 4243 Richmond Ave, 1st Floor, Staten Island, NY 10312-6221 2015-07-15
1780811471 Christal D Charbonnet Podiatrist 4243 Richmond Ave, Richmond Podiatry, Staten Island, NY 10312-6221 2009-06-19
1356576961 Luis H. Mora Podiatrist 2749 Hylan Blvd, Staten Island, NY 10306-4656 2009-05-27
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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