Individual provider Active NPI

Floriana Rudner, RPA-C

  • Medical Physician Assistant
  • Ridgewood, NJ
National Provider Identifier
1376877878
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00641100 Issued in NJ
Practice address
1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450
Phone
(201) 444-0868
Fax
(201) 493-0797
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00641100 NJ Primary

Addresses

Primary practice location

1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450

Mailing address

1200 E. Ridgewood Ave
Suite 208
Ridgewood, NJ 07450
Phone (201) 444-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100212000133 NY Practitioner - Physician Assistant 3375687460 Reassigns benefits to 4 organizations
I20230601000652 NJ Practitioner - Physician Assistant 3375687460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Group of Bergen County PAGroup PAC ID 5698755056, 26 clinicians

Practice addresses (Care Compare)

1200 E Ridgewood Ave
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Bone and Joint Faculty Practice Physical Therapy Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: floriana.rudner.1@25202.direct.athenahealth.com

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": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1376877878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E. RIDGEWOOD AVE",
            "address_2": "SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E. RIDGEWOOD AVE",
            "address_2": "SUITE 208",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNER",
        "first_name": "FLORIANA",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00641100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.