Maura Therese Rudyk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR0234201 Issued in NY

Practice address

182 Main St
Huntington, NY 11743-6987

Phone

(631) 427-1265

Fax

(631) 427-1265

NPI assigned

Nov 14, 2006

Sex

Female

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Icon Medical Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Huntington, NY
  • NPI 1922683069
  NPD (past)
• Virginia a. Parker LCSW P.C.

  • Adult Mental Health Clinic/Center
  • Huntington, NY
  • NPI 1972255941
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1154493112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 DEPOT ROAD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-427-1265",
            "fax_number": "631-427-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117436987",
            "telephone_number": "631-427-1265",
            "fax_number": "631-427-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDYK",
        "first_name": "MAURA",
        "middle_name": "THERESE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0234201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camryn Roy
• Mary Ann Rubertone, OD
• James Rubin-Perez, PSY.D.
• Nora Rubovitz
• Max Rudansky, MD
• Melissa Ruiz
• William Ruppel, MD
• Filomena Theresa Russo, EDUCATOR
• Joseph Russo, M.D.
• Michael Rutherford

• All providers in Huntington, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.