Adina Rudman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00765300 Issued in NJ

Practice address

35 Ascension St Apt 16
Passaic, NJ 07055-4653

Phone

(201) 595-9207

NPI assigned

Jan 31, 2023

Last updated

Dec 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Certified Dermatology PCGroup PAC ID 9931492287, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• NJ Certified Dermatology PC

  • Dermatology Physician
  • Neptune, NJ
  • NPI 1003263807
  Medicare reassignment Care Compare group
• NJ Certified Dermatology PC

  dba Dedicated Dermatology

  • Dermatology Physician
  • Allentown, PA
  • NPI 1326496241
  NPD (past)

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1699471813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ASCENSION ST APT 16",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554653",
            "telephone_number": "201-595-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ASCENSION ST APT 16",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070554653",
            "telephone_number": "201-595-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Middlesex Essex Tpke Ste 206",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302033",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "732-327-2057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "668 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024726",
            "country_code": "US",
            "telephone_number": "732-456-7777",
            "fax_number": "732-327-2507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "ADINA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00765300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal RX Inc (St. Mary's Pharmacy)
• Royal RX Inc (St. Mary's Pharmacy)
• Karina Rua, RDMS
• Susan W Rubinoff, MD
• Hal Z Rudin, RPH
• Bertha Maria Ruiz-Sardelli
• Blair Rush-Gove, LCSW
• Morgan Russo
• Adina Sabovich
• Sarina Sachdev, M.D.

• Physician Assistant in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.

Verify at the official NPI Registry.