Individual provider Active NPI

Vsevolod G Rudoy, MD

  • Psychiatry Physician
  • Brooklyn, NY
National Provider Identifier
1619920113
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
222147 Issued in NY
Practice address
26 Court St Ste 1510
Brooklyn, NY 11242-0103
Phone
(718) 522-3600
Fax
(718) 522-3667
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 222147 NY Primary

Addresses

Primary practice location

26 Court St Ste 1510
Brooklyn, NY 11242-0103

Mailing address

PO Box 350186
Brooklyn, NY 11235-0186
Phone (718) 522-3600

Other identifiers 1

IdentifierTypeStateIssuer
02175437MedicaidNY

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
I20060228000572 NY Practitioner - Psychiatry 1052327020 Reassigns benefits to 1 organization
I20251029002316 NJ Practitioner - Psychiatry 1052327020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Psychiatric Services PCGroup PAC ID 2365789674, 26 clinicians

Practice addresses (Care Compare)

429 Quackenbush PL
Ridgewood, NJ 07450-2120
Phone (718) 522-3600

6219 5TH Ave
Brooklyn, NY 11220-4611
Phone (718) 522-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222147NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rudoy Medical PC Psychiatry CurrentSince Jan 17, 2019 Accepting new patients
Good Health Psychiatric Services PC Psychiatry CurrentSince Apr 25, 2011 Accepting new patients
Eclipse Medical Imaging PC Past Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients
NVS Management Services LLC Past Accepting new patients
East Point Medical PC Psychiatry Past Accepting new patients
Interfaith Radiology Past Accepting new patients
Interfaith Medical Center Psychiatry Past Accepting new patients

Locations

1523 Voorhies Ave
Brooklyn, NY 11235
Phone (718) 524-3600

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

Networks

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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1619920113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350186",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112350186",
            "telephone_number": "718-522-3600",
            "fax_number": "718-522-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST STE 1510",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-522-3600",
            "fax_number": "718-522-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOY",
        "first_name": "VSEVOLOD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02175437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.