Mercedes Nancy Rudelli, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA53121 Issued in NJ

Practice address

230 60 Street
West New York, NJ 07093

Phone

(201) 453-8886

Fax

(201) 453-0800

NPI assigned

May 3, 2007

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

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.

• Joyous Medical Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Elizabeth, NJ
  • NPI 1255096798
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124240718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 60 STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-453-8886",
            "fax_number": "201-453-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 60 STREET",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "07093",
            "telephone_number": "201-453-8886",
            "fax_number": "201-453-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDELLI",
        "first_name": "MERCEDES",
        "middle_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA53121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline L. Romeu, O.D.
• Hilda Rosa Roque-Dieguez, M.D.
• Felix Eduardo Roque, MD
• Beatriz Rosales Fuentes
• Monica Rosales Santillan
• Raul D Rudelli, MD
• Rustagi Eye Associates LLC
• Saras Rustagi, O.D.
• Saam Medical
• Salazar Dental LLC

• Psychiatry Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.