Deborah E Rudin, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MA59748 Issued in NJ

Practice address

141 Dayton St
Ridgewood, NJ 07450-4496

Phone

(201) 447-6468

Fax

(201) 447-3189

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridgewood Infectious Disease Associates, PA

  • Specialist
  • Ridgewood, NJ
  • NPI 1487851903
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1013974971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504496",
            "telephone_number": "201-447-6468",
            "fax_number": "201-447-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DAYTON ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074504496",
            "telephone_number": "201-447-6468",
            "fax_number": "201-447-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA59748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD#",
            "identifier": "P958608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET#",
            "identifier": "2K3154",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO#",
            "identifier": "3275469",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO#",
            "identifier": "4462067",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS#",
            "identifier": "123AR1",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP#",
            "identifier": "13126",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO#",
            "identifier": "8221652",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE#",
            "identifier": "91002075400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE#",
            "identifier": "P00019587",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nansie Alane Ross, PSY.D
• Route 99 LLC
• RS Hematology and Oncology Associates PA
• Mitchell J Rubinoff, M.D.
• Donna Mae Rudesyle, NP
• David P Rudman, M.D.
• Floriana Rudner, RPA-C
• Andrea Sherry Rudolph, LCSW
• Jonathan Sloan Ruhl
• Mirna Joann Ruiz-Vazquez, LCSW, CASAC

• Infectious Disease Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.