David P Rudman, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

25MA07771200 Issued in NJ

Practice address

1124 E Ridgewood Ave
201 T
Ridgewood, NJ 07450-3915

Phone

(201) 447-1188

Fax

(201) 447-8935

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Orthopedic Surgery

Education

State University of Ny Upstate Medical University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
• Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drudman1161852@ahs.direct-ci.com
• Direct secure messaging: david.rudman@ko.eclinicaldirectplus.com

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.

• Kayal Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1528729159
  Medicare reassignment Care Compare group NPD
• Specialty Orthopaedics of New Jersey, PA

  • Specialist
  • Ridgewood, NJ
  • NPI 1174580807
  NPD Authorized official
• Kayal Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Franklin Lakes, NJ
  • NPI 1427014083
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620

  Inpatient rehabilitation facility

  Care Compare affiliation
• Pascack Valley Hospital LLC

  • General Acute Care Hospital
  • Westwood, NJ
  • NPI 1205176062
  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1821026709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "address_2": "201 T",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-447-1188",
            "fax_number": "201-447-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 E RIDGEWOOD AVE",
            "address_2": "201 T",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503915",
            "telephone_number": "201-447-1188",
            "fax_number": "201-447-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07771200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "085565TGP",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Route 99 LLC
• RS Hematology and Oncology Associates PA
• Mitchell J Rubinoff, M.D.
• Donna Mae Rudesyle, NP
• Deborah E Rudin, M.D.
• Floriana Rudner, RPA-C
• Andrea Sherry Rudolph, LCSW
• Jonathan Sloan Ruhl
• Mirna Joann Ruiz-Vazquez, LCSW, CASAC
• Kelly Rumler, APN-C

• Orthopaedic Surgery Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.