A. H. Rudberg Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

190637-1 Issued in NY

Legal business name

A. H. RUDBERG UROLOGY PC

Practice address

231 Ocean View Ave
Brooklyn, NY 11235-6824

Phone

(718) 934-7800

Fax

(718) 934-3732

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Avidah H Rudberg X, MDNPI 1639124779

Title

Owner

Phone

(718) 934-7800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avidah H Rudberg, M.D.

  • Urology Physician
  • Bonita Springs, FL
  • NPI 1639124779

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1861406738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 143RD ST",
            "city": "NEPONSIT",
            "state": "NY",
            "postal_code": "116941105",
            "telephone_number": "718-634-1404",
            "fax_number": "718-634-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OCEAN VIEW AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356824",
            "telephone_number": "718-934-7800",
            "fax_number": "718-934-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. H. RUDBERG UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "RUDBERG",
        "authorized_official_first_name": "AVIDAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-934-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "190637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.