Active NPI
Michael E Rudman, MD
- Pain Medicine Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 25MA05804700
- Practice address
- 95 Madison Ave
Morristown, NJ 07960-6092 - Phone
- (973) 971-6824
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA05804700 | NJ | |
| Pain Medicine Physician | 208VP0000X | 25MA05804700 | NJ | Primary |
Addresses
Primary practice location
95 Madison Ave
Morristown, NJ 07960-6092
Mailing address
PO Box 24004
Newark, NJ 07101-0406
Phone (201) 804-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5148707 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050819000229 | NJ | Practitioner - Pain Management | 9133032824 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Pennsylvania State University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
197 Ridgedale Ave
Suite 225
Cedar Knolls, NJ 07927-2111
Phone (862) 260-4265
Hospital & facility affiliations
- Morristown Medical Center
- Kessler Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.09 of 100
- Quality
- 46.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Brain and Spine | Current | Accepting new patients | |
| Vista Pain Management, LLC | Pain Medicine | Current | Accepting new patients |
| Anesthesia Associates of Morristown PA | Past | Accepting new patients | |
| New Jersey Ambulatory Anesthesia Associates LLC | Past | Accepting new patients |
Locations
197 Ridgedale Ave
Ste 225
Cedar Knolls, NJ 07927
Phone (862) 260-4265
90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568
310 Madison Ave
Ste 300
Morristown, NJ 07960
Phone (973) 285-7800
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
Organizations & group practices 4
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.
-
- Specialist
- Morristown, NJ
- NPI 1922057678
-
- Specialist
- Morristown, NJ
- NPI 1003865692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1720085145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24004",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071010406",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606092",
"telephone_number": "973-971-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDMAN",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA05804700",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NJ",
"license": "25MA05804700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5148707",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.