Organization Active NPI

Howard J. Rudnick M.D., P.a.

  • Orthopaedic Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1710174503
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0038790 Issued in FL
Legal business name
HOWARD J. RUDNICK M.D., P.A.
Practice address
5162 Linton Blvd
Suite 204
Delray Beach, FL 33484-6567
Phone
(561) 496-3100
Fax
(561) 496-0183
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Howard J Rudnick, M.D.
Title
President
Phone
(561) 496-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X ME0038790 FL Primary

Addresses

Primary practice location

5162 Linton Blvd
Suite 204
Delray Beach, FL 33484-6567

Mailing address

3111 SW 10TH St
Pompano Beach, FL 33069-4828
Phone (561) 496-3100

Other identifiers 1

IdentifierTypeStateIssuer
260456600MedicaidFL

National Provider Directory

National Provider Directory

Locations

3111 SW 10th St
Pompano Beach, FL 33069
Phone (561) 496-3100

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1710174503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SW 10TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694828",
            "telephone_number": "561-496-3100",
            "fax_number": "561-496-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "SUITE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-496-3100",
            "fax_number": "561-496-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD J. RUDNICK M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-496-3100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0038790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260456600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.