Marc Howard Rudofsky, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA03323900 Issued in NJ

Practice address

189 Elm St
Westfield, NJ 07090-3145

Phone

(908) 232-3435

Fax

(908) 232-1652

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cranford Ophthalmology, P.a.

  • Ophthalmology Physician
  • Cranford, NJ
  • NPI 1932251238
  Medicare reassignment NPD
• Cranford Ophthalmology, PA

  • Ophthalmology Physician
  • Westfield, NJ
  • NPI 1407392004
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1104821875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ELM ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ELM ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903145",
            "telephone_number": "908-232-3435",
            "fax_number": "908-232-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOFSKY",
        "first_name": "MARC",
        "middle_name": "HOWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03323900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Rosenfarb, L.AC.
• Ilona Polur Rossignol, D.M.D.
• Peggy A Rothbaum, PHD
• Wendi Beth Rothstein, LCSW
• Victor Joseph Roveda, LPC
• Allison J Rudow
• Rui Sergio Seu DDS PC
• Michele Ruiz
• Amanda Russo
• Torin W Rutner, DMD MD

• Ophthalmology Physician in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.