Desiree Rudbart, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

00648469 Issued in NY

Practice address

45 Blydenburg Rd
Centereach, NY 11720-4301

Phone

(631) 737-1788

Fax

(631) 737-1441

NPI assigned

Dec 19, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Motherly Love Home Care Services, Inc.

  • Home Health Agency
  • Centereach, NY
  • NPI 1710198791
  NPD (past)

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1164791216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SALISBURY RUN",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662816",
            "telephone_number": "631-928-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BLYDENBURG RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204301",
            "telephone_number": "631-737-1788",
            "fax_number": "631-737-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDBART",
        "first_name": "DESIREE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "00648469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda May Rose, DC, MS
• Suzanne Ross, CCC-SLP
• Joyce V Rossa, R.N.
• Deborah Rouse, RN
• Jordan Taylor Rucks
• George Rulli, DC
• Dayna Russo
• Kyung D. Ryu, M.S., L.AC.
• Sacks Chiropractic, PC
• Ronald Allen Sacks, DC

• Registered Nurse in Centereach, NY
• Providers in Centereach, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.