Lynn Karen Rudich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

028255 Issued in CT

Practice address

9 N Pease Rd
Woodbridge, CT 06525-1621

Phone

(203) 506-8909

Fax

(203) 397-2316

NPI assigned

Dec 11, 2007

Last updated

May 28, 2020By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1285817429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N PEASE RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251621",
            "telephone_number": "203-506-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N PEASE RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251621",
            "telephone_number": "203-506-8909",
            "fax_number": "203-397-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDICH",
        "first_name": "LYNN",
        "middle_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "028255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Rodrick, DPT
• Bina Roginsky, PSY.D.
• Dayne Romano, LCSW
• Elaine C Rooney, PSY.D.
• Harvey Lee Ruben, MD
• Thomas Sabellico, LMFT
• Corinne E Sadinsky
• Jeffrey C Salomon, M.D.
• Lenore D Salomon, PHD., OTR/L, CHT
• Charmaine Samuda, LCSW

• Pediatrics Physician in Woodbridge, CT
• Providers in Woodbridge, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.