RUDOLPH M SADA, MD (NPI# 1538152517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538152517 |
| Entity Type | Organization |
| Organization Name | RUDOLPH M SADA, MD |
| Practice Address |
521 East Ave Lockport NY 14094-3201 |
| Mailing Address |
Po Box 656 Lockport NY 14095-0656 |
| Practice Telephone | 7165145853 |
| Practice Fax Number | 7164346454 |
| Mailing Telephone | 7164340026 |
| Mailing Fax Number | 7164346454 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RUDOLPH MUNTU SADA (OWNER/PRACTITIONER) |
| Authorized Official Telephone | 7164340026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
120789 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 00010153901 | 01 |
| NY | 00362390 | 05 | |
| NY | BC & BS OF WESTERN NY | 000507174001 | 01 |
| NY | INDEPENDENT HEALTH ASSOCI | 4906609 | 01 |
| Street Address |
521 EAST AVE |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896952 | Eastern Niagara Hospital | Spec/Tech, Pathology | 521 East Ave, Lockport, NY 14094-3201 | 2020-06-23 |
| 1972129666 | Kevin Beney | Technician, Pathology | 521 East Ave, Lockport, NY 14094-3201 | 2020-06-18 |
| 1003313263 | Farial Islam | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-04-12 |
| 1376049569 | Leslye Jones | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-04-05 |
| 1790286268 | Christopher Somsook | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-02-21 |
| 1861848392 | James Aaron Bolton | Family Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2016-05-13 |
| 1154711331 | Alexandra Bogold | Physician Assistant | 521 East Ave, Lockport, NY 14094-3201 | 2015-01-27 |
| 1861744740 | Eastern Niagara Hospital Inc | Hospitalist | 521 East Ave, Lockport, NY 14094-3201 | 2012-10-03 |
| 1619299724 | Keystone Hospitalist Services of New York, PC | Hospitalist | 521 East Ave, Lockport, NY 14094-3201 | 2010-02-17 |
| 1801026406 | Rita Fattouch Saikali | Anesthesiology | 521 East Ave, Lockport, NY 14094 | 2009-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906143 | Ebenezer Vander Pallen | Nuclear Medicine | 1366 Victory Blvd # B, Staten Island, NY 10301-3907 | 2017-07-27 |
| 1588104079 | Simkeon Andrew Kang | Nuclear Medicine | 7 Pateman Cir, Menands, NY 12204-1338 | 2017-03-02 |
| 1932593746 | Ghulam Mustafa | Nuclear Medicine | Buffalo General Medical Center. 100 High St, Department of Nuclear Medicine, Buffalo, NY 14203-1126 | 2015-03-19 |
| 1053674671 | Silvina Paola Dutruel | Nuclear Medicine | 525 E 68th St Fl 2, New York, NY 10065-4870 | 2012-06-19 |
| 1912135997 | Sanjit O Tewari | Nuclear Medicine | 9 Friendly Rd, Hicksville, NY 11801-6311 | 2009-06-29 |
| 1548440837 | Sleiman Naddaf | Nuclear Medicine | 565 80th St Apt 3r, Brooklyn, NY 11209-4027 | 2007-11-05 |
| 1548341696 | Xiaojin Lin | Nuclear Medicine | James J. Peters V.a. Medical Ctr, 130 West Kingsbridge Rd, Bronx, NY 10468 | 2006-10-17 |
| 1003902982 | Carlos Javier Homs | Nuclear Medicine | Woodhull Medical and Mental Health Ctr., 760 Broadway, Brooklyn, NY 11206 | 2006-10-05 |
| 1902856784 | Eric J Leichter | Nuclear Medicine | 420 E 58th St, Apt.23a, New York, NY 10022-2345 | 2006-05-11 |
| 1235780073 | Ahmet Turan Ilica | Nuclear Medicine | 1275 York Ave, New York, NY 10065-6007 | 2019-09-23 |
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| 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.