Individual provider Active NPI

Rachel Mary Hudacko, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Suffern, NY
National Provider Identifier
1407173941
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
25MA08816400 Issued in NJ
Practice address
255 Lafayette Ave
Good Samaritan Hospital
Suffern, NY 10901-4812
Phone
(845) 368-5179
Fax
(201) 661-7297
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 25MA08816400 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 254602 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA08816400 NJ Primary

Addresses

Primary practice location

255 Lafayette Ave
Good Samaritan Hospital
Suffern, NY 10901-4812

Mailing address

535 E Crescent Ave
C/O Histopahtology Services, LLC
Ramsey, NJ 07446-2922
Phone (201) 661-7280

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120719000191 NY Practitioner - Pathology 8921264946 Reassigns benefits to 1 organization
I20180130003096 NJ Practitioner - Pathology 8921264946 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
Robert Wood Johnson University Hosp
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7307

365 Broad St
Suite 1Wand1E
Red Bank, NJ 07701-2150
Phone (732) 842-4294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08816400NJMDAnatomic Pathology & Clinical Pathology Physician
254602NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Digestive Health, LLC CurrentSince May 30, 2023 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Feb 11, 2018 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Gastrointestinal Care of Long Island PLLC CurrentSince Jan 1, 2025 Accepting new patients
University Physician Associates of New Jersey Inc Cytopathology CurrentSince Feb 11, 2018 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations (25 of 28)

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

1842 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 828-0100

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

801 Avenue N
Brooklyn, NY 11230
Phone (718) 627-6800

33 N Ocean Ave
Freeport, NY 11520
Phone (516) 378-4949

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

233 E Shore Rd
Ste 101
Great Neck, NY 11023
Phone (516) 480-2444

1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269

29 Jericho Tpke
Jericho, NY 11753

360 Merrick Rd
Ste 320
Lynbrook, NY 11563
Phone (516) 593-4451

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

5030 Broadway
New York, NY 10034
Phone (212) 567-9800

30 E 60th St
Ste 804
New York, NY 10022
Phone (212) 486-3886

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

2000 N Village Ave
Ste 411
Rockville Ctr, NY 11570
Phone (516) 593-4451

136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400

20 W Lincoln Ave
Ste 201
Valley Stream, NY 11580
Phone (516) 872-3885

Networks

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

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1407173941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E CRESCENT AVE",
            "address_2": "C/O HISTOPAHTOLOGY SERVICES, LLC",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462922",
            "telephone_number": "201-661-7280",
            "fax_number": "201-661-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "address_2": "GOOD SAMARITAN HOSPITAL",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5179",
            "fax_number": "201-661-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDACKO",
        "first_name": "RACHEL",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NJ",
            "license": "25MA08816400",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "254602",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA08816400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.