Healthcare Provider Details

I. General information

NPI: 1568040103
Provider Name (Legal Business Name): JAMES JUDE RUTOWSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0002
US

IV. Provider business mailing address

601 ELMWOOD AVE
ROCHESTER NY
14642-0002
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-4517
  • Fax: 585-442-9201
Mailing address:
  • Phone: 585-275-4517
  • Fax: 585-442-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number328999
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: