Organization Active NPI

Aliona Rudys MD Internal Medicine LLC

  • Internal Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1972748580
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA68840 Issued in NJ
Legal business name
ALIONA RUDYS MD INTERNAL MEDICINE LLC
Practice address
19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331
Phone
(201) 475-4091
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Dr. Aliona Rudys, MD
Title
Owner
Phone
(201) 475-4091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA68840 NJ Primary

Addresses

Primary practice location

19-21 Fair Lawn Ave
Fair Lawn, NJ 07410-2331

Mailing address

PO Box 93
Fair Lawn, NJ 07410-0093
Phone (201) 475-4091

Other identifiers 1

IdentifierTypeStateIssuer
8004501MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0968217Aliona Rudys MD19-21 Fair Lawn Avenue, Fair Lawn, NJ 07410Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

19-21 Fair Lawn Ave
Ste 2I
Fair Lawn, NJ 07410
Phone (201) 475-4091

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18693/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1972748580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074100093",
            "telephone_number": "201-475-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-21 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102331",
            "telephone_number": "201-475-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIONA RUDYS MD INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "RUDYS",
        "authorized_official_first_name": "ALIONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-475-4091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8004501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.