Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward John Rutkowski, PA-C

Individual provider Physician Assistant · NPI 1225661671

Edward John Rutkowski, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2019, 7 years ago. Practices with Highland Hospital of Rochester, a 401-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

462 Grider St
Buffalo, NY 14215-3021
Phone: (716) 898-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Elm And Carlton St, Buffalo, NY 14263-3021 — (716) 845-2300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1225661671
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 13, 2020
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Highland Hospital Of Rochester — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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