Individual provider Active NPI

Max Rudansky, MD

  • Neurology Physician
  • Huntington, NY
National Provider Identifier
1649358938
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
152862 Issued in NY
Practice address
755 New York Ave
Suite 309
Huntington, NY 11743-4240
Phone
(631) 351-1250
Fax
(631) 351-1321
NPI assigned
Nov 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 152862 NY Primary

Addresses

Primary practice location

755 New York Ave
Suite 309
Huntington, NY 11743-4240

Mailing address

755 New York Ave
Suite 309
Huntington, NY 11743-4240
Phone (631) 351-1250

Other practice location 1

100 Park Street
Glens Falls Hospital Neurology
Glens Falls, NY 12801
Phone (518) 926-2940

Other identifiers 1

IdentifierTypeStateIssuer
152862OtherNYLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address max.rudansky@cdirectglensfallshosp.org

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
I20041230000526 NY Practitioner - Neurology 3577521996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Jefferson Medical College of Thomas Jefferson University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

102 Park St
Glens Falls, NY 12801-4403
Phone (518) 926-2940

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152862NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Max Rudansky, MD & Jacques Winter MD, PC Neurology Current Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Oct 25, 2021 Accepting new patients
St. Johnland Nursing Center, Inc. CurrentSince Jan 1, 1992 Accepting new patients
St. Johnland Nursing Center, Inc. CurrentSince Jan 1, 1992 Accepting new patients
Glens Falls Hospital Inc CurrentSince Oct 25, 2021 Accepting new patients

Locations

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601

79 North St
Granville, NY 12832
Phone (518) 642-0612

755 New York Ave
Ste 309
Huntington, NY 11743
Phone (516) 351-1250

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

395 Sunken Meadow Rd
Kings Park, NY 11754
Phone (631) 269-5800

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

Interoperability endpoints

  • Direct secure messaging: mrudansky101732@albanymed.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649358938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 309",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-351-1250",
            "fax_number": "631-351-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 309",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "631-351-1250",
            "fax_number": "631-351-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital Neurology",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "12801",
            "country_code": "US",
            "telephone_number": "518-926-2940",
            "fax_number": "518-926-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDANSKY",
        "first_name": "MAX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "152862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "152862",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "max.rudansky@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital Neurology",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.