Stephanie Rudin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

351065 Issued in NY

Practice address

5010 State Highway 30
Amsterdam, NY 12010-7532

Phone

(518) 842-0017

NPI assigned

Dec 21, 2023

Last updated

Dec 21, 2023By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emily T. Etzkorn, M.D., P.C.

  • Internal Medicine Physician
  • Amsterdam, NY
  • NPI 1396856530
  Medicare reassignment NPD
• Emily T. Etzkorn, MD, PC

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1730695552
  NPD (past)

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1174392948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30 STE G02",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDIN",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Anne Rogers, LCAT, LCSW, MT-BC
• Nathan John Rogers, PHARMD.
• Ronald R. Marsh, M.D.,PLLC
• Ronald S Tecler DMD PC
• Andrew Roth
• John Ruiz, MD
• Sydney A Rule, PHARMD
• Ingrid Rund, MD
• Maureen Elizabeth Russell, FNP-BC
• Erica N Rutkowski

• Family Nurse Practitioner in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.