NPIMap

Organization Active NPI

Jennifer N Rudd MD PC

  • Internal Medicine Physician
  • East Orange, NJ
National Provider Identifier
1518154244
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA03376500 Issued in NJ
Legal business name
JENNIFER N RUDD MD PC
Practice address
90 Washington Street
Suite 213
East Orange, NJ 07017-1050
Phone
(973) 674-5726
Fax
(973) 674-5920
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Jennifer Nell Rudd, MD
Title
Founder President
Phone
(973) 674-5726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 25MA03376500 NJ Primary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 25MA03376500 NJ

Addresses

Primary practice location

90 Washington Street
Suite 213
East Orange, NJ 07017-1050

Mailing address

90 Washington Street
Suite 213
East Orange, NJ 07017-1050
Phone (973) 674-5726

National Provider Directory

National Provider Directory

Locations

90 Washington St
Ste 213
East Orange, NJ 07017
Phone (973) 634-6134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1518154244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON STREET",
            "address_2": "SUITE 213",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-674-5726",
            "fax_number": "973-674-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WASHINGTON STREET",
            "address_2": "SUITE 213",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171050",
            "telephone_number": "973-674-5726",
            "fax_number": "973-674-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER N RUDD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NELL",
        "authorized_official_title_or_position": "FOUNDER PRESIDENT",
        "authorized_official_telephone_number": "973-674-5726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA03376500",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03376500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.