Individual provider Active NPI

Janusz E Rudnicki, M.D.

  • Obstetrics & Gynecology Physician
  • Carmel, NY
National Provider Identifier
1639260045
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
150208 Issued in NY
Practice address
660 Stoneleigh Ave
Carmel, NY 10512-2466
Phone
(845) 279-2000
Fax
(845) 279-3887
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 150208-1 NY
Obstetrics & Gynecology Physician 207V00000X 150208 NY Primary

Addresses

Primary practice location

660 Stoneleigh Ave
Carmel, NY 10512-2466

Mailing address

110 S Bedford Rd
Caremount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050

Other identifiers 1

IdentifierTypeStateIssuer
00715839MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090728000053 NY Practitioner - Obstetrics/Gynecology 1951454701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Medical PCGroup PAC ID 5890916068, 55 clinicians

Practice addresses (Care Compare)

967 N Bdway
Yonkers, NY 10701-1301
Phone (914) 798-8956

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150208-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Medical PC CurrentSince Oct 1, 2018 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince May 1, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 1, 2010 Accepting new patients
Optum Medical Care, P.C. CurrentSince May 1, 2010 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince May 1, 2023 Accepting new patients
Symphony Medical PC CurrentSince Oct 1, 2018 Accepting new patients
St. John'S Riverside Hospital Past Accepting new patients

Locations

15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930

660 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 278-5582

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

967 N Broadway
Fl 1
Yonkers, NY 10701

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1639260045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S BEDFORD RD",
            "address_2": "CAREMOUNT MEDICAL PC",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493446",
            "telephone_number": "914-241-1050",
            "fax_number": "914-242-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 STONELEIGH AVE",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122466",
            "telephone_number": "845-279-2000",
            "fax_number": "845-279-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICKI",
        "first_name": "JANUSZ",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "150208-1",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "150208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.