Active NPI
Hedda Rudoff, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1750490496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R027024-1
- Practice address
- 180 E 79TH St
New York, NY 10021 - Phone
- (212) 744-3700
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R027024-1 | NY | Primary |
Addresses
Primary practice location
180 E 79TH St
New York, NY 10021
Mailing address
110 Riverside Dr
New York, NY 10024
Phone (212) 724-9384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027024 | NY | MD | Psychologist |
| R027024-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750490496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-724-9384",
"fax_number": "646-505-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 E 79TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10021",
"telephone_number": "212-744-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDOFF",
"first_name": "HEDDA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R027024-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.