Richard Gilbert Dudley Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125925 Issued in NY

Practice address

210 W 101St St
Suite 11-K
New York, NY 10025-5059

Phone

(212) 222-5122

Fax

(212) 222-5532

NPI assigned

Jan 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1508161803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W 101ST ST",
            "address_2": "SUITE 11-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255059",
            "telephone_number": "212-222-5122",
            "fax_number": "212-222-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W 101ST ST",
            "address_2": "SUITE 11-K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255059",
            "telephone_number": "212-222-5122",
            "fax_number": "212-222-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "RICHARD",
        "middle_name": "GILBERT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "125925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Dudek, CNM
• Mona Dudek, ANP-BC
• Kelsey Marie Dudgeon
• Srikar Dudipala
• Michael Dudkiewicz, MD
• Kiersten Dudman, AUD
• Paulina Ameila Dudojc, PHYSICIAN ASSISTANT
• Bradley Due
• Kaylee Dueber, LP-MHC
• Deborah Duenas, OTR/L

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.