Raul D Rudelli, MD

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

143179 Issued in NY

Practice address

230 60TH St
West New York, NJ 07093-2824

Phone

(347) 996-9422

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

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.

• Babylon Medical Practice, P.C.

  • Internal Medicine Physician
  • Babylon, NY
  • NPI 1811967805
  Medicare reassignment NPD
• Endo Associates of Staten Island, PLLC

  • Anesthesiology Physician
  • Staten Island, NY
  • NPI 1518107283
  Medicare reassignment NPD
• Murray Hill Urology, PC

  • Urology Physician
  • New York, NY
  • NPI 1255713541
  Medicare reassignment NPD
• Sottile & Megna MD PC

  • Gastroenterology Physician
  • Staten Island, NY
  • NPI 1508846296
  Medicare reassignment NPD
• Dimitri N Kessaris MDPC

  • Urology Physician
  • Manhasset, NY
  • NPI 1154430148
  Medicare reassignment
• Advanced Gastroenterology Center, PC

  • Gastroenterology Physician
  • Rahway, NJ
  • NPI 1003052549
  NPD
• Regional Pathologists PC

  • Clinical Pathology/Laboratory Medicine Physician
  • Englewood Cliffs, NJ
  • NPI 1407885056
  NPD
• Hands on Home Care Inc.

  • Physical Therapist
  • Brick, NJ
  • NPI 1275027799
  NPD (past)
• Lawrenceville Urology PA

  • Urology Physician
  • Lawrenceville, NJ
  • NPI 1477545705
  NPD (past)
• New Jersey Urology LLC

  • Urology Physician
  • Bloomfield, NJ
  • NPI 1588822423
  NPD (past)
• Nikita Varshneya, M.D P.a

  • Cardiovascular Disease Physician
  • Clark, NJ
  • NPI 1821016775
  NPD (past)
• University Urology PA

  • Specialist
  • Hackensack, NJ
  • NPI 1235171760
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1124049671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932824",
            "telephone_number": "347-996-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDELLI",
        "first_name": "RAUL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "MA39697",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NY",
            "license": "143179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6404405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilda Rosa Roque-Dieguez, M.D.
• Felix Eduardo Roque, MD
• Beatriz Rosales Fuentes
• Monica Rosales Santillan
• Mercedes Nancy Rudelli, MD
• Rustagi Eye Associates LLC
• Saras Rustagi, O.D.
• Saam Medical
• Salazar Dental LLC
• Maria Salazar, DMD

• Clinical Pathology/Laboratory Medicine Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Clinical Pathology/Laboratory Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.