Active NPI
Janusz E Rudnicki, M.D.
- Obstetrics & Gynecology Physician
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 150208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00715839 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150208-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symphony Medical PC | Current | Accepting new patients | |
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Hudson Valley Regional Community Health Centers Inc | Current | Accepting new patients | |
| Symphony Medical PC | Current | 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
- 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.
-
- Hospitalist Physician
- Dobbs Ferry, NY
- NPI 1659787653
-
- Clinic/Center
- Brewster, NY
- NPI 1477051589
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Clinic/Center
- Poughkeepsie, NY
- NPI 1356840581
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Orthopaedic Surgery Physician
- Dobbs Ferry, NY
- NPI 1023600327
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.