Active NPI
Aliona Rudys MD Internal Medicine LLC
- Internal Medicine Physician
- Fair Lawn, NJ
National Provider Identifier
1972748580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA68840
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8004501 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0968217 | Aliona Rudys MD | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
19-21 Fair Lawn Ave
Ste 2I
Fair Lawn, NJ 07410
Phone (201) 475-4091
Interoperability endpoints
- 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.