RICHARD ROUDER DPM (NPI# 1598704488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598704488 |
| Entity Type | Individual |
| Full Name | RICHARD ROUDER DPM |
| Practice Address |
1500 Victory Blvd Staten Island NY 10301-3912 |
| Mailing Address |
1855 Richmond Ave 104 Staten Island NY 10314-3940 |
| Practice Telephone | 1785565550 |
| Practice Fax Number | 7182733232 |
| Mailing Telephone | 1785565550 |
| Mailing Fax Number | 7182733232 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N005371 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7426305 | 05 |
| Street Address |
1500 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085804 | Michael A. Benson | Obstetrics & Gynecology | 1500 Victory Blvd, Staten Island, NY 10301-3912 | 2006-06-01 |
| 1508805904 | Anna C Pavlides | Obstetrics & Gynecology | 1500 Victory Blvd, Staten Island, NY 10301-3912 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| 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 | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on RICHARD ROUDER DPM.
| 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.