Individual provider Active NPI

Antonio Rudo

  • Counselor
  • Cedar Knolls, NJ
National Provider Identifier
1962647453
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
100 E Hanover Ave
Cedar Knolls, NJ 07927-2020
Phone
(973) 401-2141
NPI assigned
Dec 11, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

100 E Hanover Ave
Cedar Knolls, NJ 07927-2020

Mailing address

100 E Hanover Ave
Cedar Knolls, NJ 07927-2020
Phone (973) 401-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821005238 NJ Practitioner - Mental Health Counselor 3971042979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine of Morris County LLCGroup PAC ID 2466428388, 77 clinicians

Practice addresses (Care Compare)

1 Medical Dr
Suite 1
Morris Plains, NJ 07950-3155
Phone (973) 298-8600

25 Pocono Rd
Denville, NJ 07834-2954
Phone (973) 927-5788

50 Morris Ave
Denville, NJ 07834-1735
Phone (973) 625-7007

56 Morris Ave
Denville, NJ 07834-1735
Phone (973) 625-0096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Therapy, LLC Current Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Jun 7, 2024 Accepting new patients
Prime Healthcare Services - Saint Clare's LLC PastSince Feb 9, 2026 Accepting new patients

Locations

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

1 Medical Dr
#1
Morris Plains, NJ 07950
Phone (973) 298-8600

1 Medical Dr
#3
Morris Plains, NJ 07950
Phone (973) 298-8600

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1962647453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HANOVER AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272020",
            "telephone_number": "973-401-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HANOVER AVE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272020",
            "telephone_number": "973-401-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDO",
        "first_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Knolls, NJ

Sources for this page

Verify at the official NPI Registry.