DEBORAH E RUDIN


Address: 141 Dayton St, Ridgewood, NJ 07450-4496
Phone: 2014476468

DEBORAH E RUDIN (NPI# 1013974971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013974971
Entity Type Individual
Full Name DEBORAH E RUDIN
Credential M.D.
Practice Address 141 Dayton St
Ridgewood
NJ 07450-4496
Practice Telephone 2014476468
Practice Fax Number 2014473189
Mailing Telephone 2014476468
Mailing Fax Number 2014473189
Enumeration Date 2006-04-26
Last Update Date 2008-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
MA59748 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ AMERIGROUP# 13126 01
NJ GHI PPO# 8221652 01
NJ AETNA PPO# 4462067 01
NJ AMERICHOICE# 91002075400 01
NJ HEALTHNET# 2K3154 01
NJ AETNA HMO# 3275469 01
NJ OXFORD# P958608 01
NJ RAILROAD MEDICARE# P00019587 01
NJ EMPIRE BC/BS# 123AR1 01

Office Location

Street Address 141 DAYTON ST
City RIDGEWOOD
State NJ
Zip Code 07450-4496

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487851903 Ridgewood Infectious Disease Associates, Pa Specialist 141 Dayton St, Suite 201, Ridgewood, NJ 07450-4496 2007-06-28

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1962065979 Corey Chan Student in an Organized Health Care Education/Training Program 550 Lynn St, Ridgewood, NJ 07450 2019-04-16
1679058200 Raymond Hawash Pharmacist 223 North Van Dien Ave, Ridgewood, NJ 07450 2018-09-28
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1336671114 Camp Sunshine and Camp Snowflake, Inc. Respite Care 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 2017-03-30
1952764862 Elysium Aesthetics and Vein Care, Inc Radiology 400 State Route 17, Ridgewood, NJ 07450 2016-03-30
1780077362 Paul Walter Dasher Psychologist 76 West Ridgewood Avenue, Ridgewood, NJ 07450 2015-03-06
1255750071 Myron Frank Lesh Pharmacist 305 E. Ridgewood Ave., Ridgewood, NJ 07450 2014-04-09
1649612912 Jane Worthman-leva Nutritionist 357 South Irving St, Ridgewood, NJ 07450 2013-07-26
1427398858 Life Opportunities Unlimited A Non Profit Corp. Day Training, Developmentally Disabled Services 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 2013-02-21
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134626815 Hackensack Infectious Disease Associates, LLC Internal Medicine 311 S Irving St, Ridgewood, NJ 07450-5101 2018-04-10
1003171299 John Franklyn Riefler IIi Internal Medicine 423 Colwell Ct, Ridgewood, NJ 07450-1407 2012-07-12
1942509625 Lucy Cheng Internal Medicine 947 Linwood Ave Ste 2e, Ridgewood, NJ 07450 2011-03-21
1316027105 Tosca Elana Kinchelow Internal Medicine 471 E Saddle River Rd, Ridgewood, NJ 07450-2019 2006-10-16
1649259037 Gary Glenn Knackmuhs Internal Medicine 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 2006-01-13
1114085040 Simon John Tsiouris Internal Medicine 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 2006-12-04
1710966064 Carol Ann O'hagan Sotsky Internal Medicine 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 2006-01-14
1649259045 Neil Gaffin Internal Medicine 947 Linwood Ave, Suite 2e, Ridgewood, NJ 07450-2939 2006-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588224018 Bergen Infectious Diseases Associates Inc Internal Medicine 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 2019-06-17
1326604943 Malik Medical Associates Usa Inc Internal Medicine 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 2019-05-20
1285146845 Dr Pooja P Shah Mdpc Inc Internal Medicine 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 2017-11-03
1740704931 Divine Care LLC Internal Medicine 37 Van Zandt Rd, Skillman, NJ 08558-2100 2017-07-28
1073922324 Ahmed Abdul Azim Internal Medicine 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 2014-08-11
1437566205 Uchenna Okereke Internal Medicine 93 Clerk St, Jersey City, NJ 07305-4323 2014-07-14
1487069167 Mark Dinubile Internal Medicine 505 Bartram Rd, Moorestown, NJ 08057-1833 2014-06-21
1275964371 Anand Athavale Internal Medicine 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 2013-11-28
1003158247 Joseph L Derose Internal Medicine 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 2013-03-26
1124360086 Maria Regina Alivisatos Internal Medicine 389 Terhune Rd, Princeton, NJ 08540-3637 2013-03-19
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Competitor

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City RIDGEWOOD
Zip Code 07450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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