Prunela Rundlett, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033504-1 Issued in NY

Practice address

449 Palisade Ave
Apt.2
Cliffside Park, NJ 07010-2835

Phone

(201) 366-4295

NPI assigned

Jul 14, 2011

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: prunela.rundlett.1@18107.direct.athenahealth.com

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.

• Union Community Health Center, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1437255155
  Medicare reassignment NPD

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1225326937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 PALISADE AVE",
            "address_2": "APT.2",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102835",
            "telephone_number": "201-366-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 PALISADE AVE",
            "address_2": "APT.2",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102835",
            "telephone_number": "201-366-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNDLETT",
        "first_name": "PRUNELA",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Norman Righthand, M.D.
• Christopher Rodriguez
• Carole M Rothstein, LCSW
• Leonid Rubinov, DDS
• Catherine A Ruiz Santos, DDS PC
• Patrick Gerard Ryan
• Igor Rybin, LMT
• Feodor A Sakatch, D.C.
• Mina Nader Salama, DPT
• Carmen R Salcedo, D.D.S

• Physical Therapist in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.