Rudick Dental Management LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RUDICK DENTAL MANAGEMENT LLC

Practice address

119 W 57TH St Ste 1420
New York, NY 10019-2450

Phone

(212) 757-5749

Fax

(212) 307-7309

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maina Melendez

Title

Office Manager

Phone

(212) 757-5749

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1447080049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1420",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192450",
            "telephone_number": "212-757-5749",
            "fax_number": "212-307-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 1420",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192450",
            "telephone_number": "212-757-5749",
            "fax_number": "212-307-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 W 57th St Ste 1509",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192401",
            "country_code": "US",
            "telephone_number": "212-757-5749",
            "fax_number": "212-307-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUDICK DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MAINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-757-5749",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Ruder
• David Ruderman, PT
• Elizabeth Ruderman
• Laurie Rudey, LCSW
• Derek Rudge, MD
• Albert Joseph Rudick, M.D.
• Briana Jennifer Rudick, MD
• Samuel Rudick, D.D.S.
• Charles M Rudin, M.D., PH.D.
• Merrill Stacy Rudin

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.