Individual provider Active NPI

Krista R Ruedy, M.D.

  • Anesthesiology Physician
  • Somerset, NJ
National Provider Identifier
1417156381
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA08274300 Issued in NJ
Practice address
285 Davidson Ave Ste 204
Somerset, NJ 08873-4153
Phone
(732) 271-1400
Fax
(732) 271-3544
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA08274300 NJ Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA08274300 NJ

Addresses

Primary practice location

285 Davidson Ave Ste 204
Somerset, NJ 08873-4153

Mailing address

285 Davidson Ave
Ste 204
Somerset, NJ 08873-4153
Phone (312) 505-9487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070813000092 NJ Practitioner - Anesthesiology 5698866119 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centurion Anesthesia Surgical Centers LLCGroup PAC ID 9537551254, 51 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

190 Midland Ave
Saddle Brook, NJ 07663-6408
Phone (718) 540-8600

810 Ryders LN
East Brunswick, NJ 08816-5849
Phone (732) 222-3805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08274300NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ny NJ Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Bay Anesthesia LLC Anesthesiology CurrentSince Jan 17, 2023 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jan 28, 2025 Accepting new patients
Centurion Anesthesia Surgical Centers LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Maywood Anesthesia Consultants LLC CurrentSince Nov 14, 2023 Accepting new patients
Liberty Anesthesia, PC Anesthesiology Past Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

810 Ryders Ln
East Brunswick, NJ 08816
Phone (732) 222-3805

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

321 Essex St
Hackensack, NJ 07601
Phone (201) 692-9800

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

113 W Essex St
Ste 201
Maywood, NJ 07607
Phone (201) 226-0145

2480 State Route 27
North Brunswick, NJ 08902
Phone (732) 821-0011

42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111

190 Midland Ave
Saddle Brook, NJ 07663
Phone (201) 549-9998

285 Davidson Ave
Ste 204
Somerset, NJ 08873
Phone (732) 271-1400

33 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 873-9200

2401 E Evesham Rd
Ste F
Voorhees, NJ 08043
Phone (856) 673-1600

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

Organizations & group practices 7

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 1

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1417156381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "312-505-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEDY",
        "first_name": "KRISTA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08274300",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08274300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.