Victor D. Rudy, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

126094 Issued in NY

Practice address

11050 71 Rd
Suite 1M
Forest Hills, NY 11375-4972

Phone

(718) 263-9161

Fax

(718) 504-6147

NPI assigned

Apr 9, 2007

Sex

Male

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962525212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 71 RD",
            "address_2": "SUITE 1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972",
            "telephone_number": "718-263-9161",
            "fax_number": "718-504-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71 RD",
            "address_2": "SUITE 1M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754972",
            "telephone_number": "718-263-9161",
            "fax_number": "718-504-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDY",
        "first_name": "VICTOR",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "126094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Rubinova, COTA/L
• Zilpa E Rubinova, SPECIAL EDUCATION
• Mitchell Scott Rubinstein, DO
• Kate Ruby-Sachs
• Fred Bruce Rudin, D.C.
• Melissa Rufo
• Angela Ruiz Benitez
• Ruslink LTD
• Arlene P. Russell
• Victoria Luz Russo, RN

• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.