Individual provider Active NPI

Rudgie Fadael-Correa, CM

  • Advanced Practice Midwife
  • Brooklyn, NY
National Provider Identifier
1245825157
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F002053 Issued in NY
Practice address
585 E 32ND St Apt A10
Brooklyn, NY 11210-2600
Phone
(718) 909-0205
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F002053 NY Primary

Addresses

Primary practice location

585 E 32ND St Apt A10
Brooklyn, NY 11210-2600

Mailing address

585 E 32ND St Apt A10
Brooklyn, NY 11210-2600
Phone (718) 909-0205

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210823001390 NY Practitioner - Certified Nurse Midwife (CNM) 3375948813 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
State University of New York Downstate Medical Center, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F002053NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. CurrentSince Nov 24, 2024 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Mar 1, 2022 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jun 1, 2021 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1245825157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E 32ND ST APT A10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102600",
            "telephone_number": "718-909-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E 32ND ST APT A10",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102600",
            "telephone_number": "718-909-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAEL-CORREA",
        "first_name": "RUDGIE",
        "credential": "CM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F002053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.