Alyse Rudnicki, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DI02273200 Issued in NJ

Practice address

215 Old Tappan Rd
2ND Floor
Old Tappan, NJ 07675-7000

Phone

(201) 666-8844

Fax

(201) 666-8811

NPI assigned

Aug 11, 2007

Last updated

Aug 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1902098114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "address_2": "2ND FLOOR",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-666-8844",
            "fax_number": "201-666-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD TAPPAN RD",
            "address_2": "2ND FLOOR",
            "city": "OLD TAPPAN",
            "state": "NJ",
            "postal_code": "076757000",
            "telephone_number": "201-666-8844",
            "fax_number": "201-666-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICKI",
        "first_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02273200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychoeducational Assessments, L.L.C.
• Nicole Purwin, LCSW
• Jaimee Rizzo, BCBA
• Sang Ro, D.D.S.
• Nancy A Rothenberg, DO
• Sheldon Rudnicki, DDS
• Osvaldo Sanchez
• Sang Yun Ro, DDS, PC (Apex Endodontics)
• Diane C Schwartz, MD
• Robin Helene Semegran, O.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Old Tappan, NJ
• Providers in Old Tappan, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

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

Verify at the official NPI Registry.