Individual provider Active NPI

Michael E Rudman, MD

  • Pain Medicine Physician
  • Morristown, NJ
National Provider Identifier
1720085145
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA05804700 Issued in NJ
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

Updated by the provider on Jan 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5148707MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000229 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 9133032824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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
Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

Practice addresses (Care Compare)

197 Ridgedale Ave
Suite 225
Cedar Knolls, NJ 07927-2111
Phone (862) 260-4265

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Merit-based Incentive Payment System (MIPS)

Final score
76.09 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Maxim Brain and Spine CurrentSince Dec 1, 2023 Accepting new patients
Vista Pain Management, LLC Pain Medicine CurrentSince Dec 1, 2023 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.