MRS. DONNA MAE RUDESYLE (NPI# 1306840913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306840913 |
| Entity Type | Individual |
| Full Name | MRS. DONNA MAE RUDESYLE |
| Credential | NP |
| Practice Address |
223 N Van Dien Ave Ridgewood NJ 07450-2726 |
| Practice Telephone | 2014478154 |
| Practice Fax Number | 2012513236 |
| Mailing Telephone | 2014478154 |
| Mailing Fax Number | 2012513236 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2011-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NN03817400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8486204 | 05 |
| Street Address |
223 N VAN DIEN AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
| 1649889858 | Barbara Abboud | Pharmacist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-07-24 |
| 1326668930 | Gita Natovich | Pharmacist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-04-23 |
| 1255975926 | Gertrude Patria Borja | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2019-11-05 |
| 1386209229 | Benita Shaji Varghese | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2019-05-07 |
| 1750851481 | Joe Juliano | Dietitian, Registered | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2018-11-26 |
| 1558857748 | Amanda Ukleja | Physician Assistant | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2018-07-10 |
| 1528597218 | Leah Serviano | Registered Nurse | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2017-06-07 |
| 1306377569 | The Valley Hospital Inc. | Pharmacy | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2017-03-21 |
| 1083154520 | Karen Antler | Registered Nurse | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2017-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 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 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 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 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386040905 | Mary L Simmons | Nurse Practitioner | 29 Richmond Ave, Ridgewood, NJ 07450-4224 | 2014-11-10 |
| 1649564568 | Kathleen Pirozzi | Nurse Practitioner | 316 Van Emburgh Ave, Ridgewood, NJ 07450-9998 | 2011-06-08 |
| 1427254523 | Virginia V Ilie | Nurse Practitioner | 1819 Menahan St, 2 R, Ridgewood, NY 11385-1846 | 2007-06-25 |
| 1588107072 | Mario A Guerrero | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2016-12-01 |
| 1336692011 | Daniela Cavallaro | Nurse Practitioner | 330 Franklin Tpke, Ridgewood, NJ 07450 | 2016-07-28 |
| 1831563345 | Allison Makowsky | Nurse Practitioner | 85 S Maple Ave, Ridgewood, NJ 07450 | 2015-11-20 |
| 1184016826 | Laura Kennedy Flynn | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-03-03 |
| 1043601131 | Jennifer Polizzano | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-02-10 |
| 1275938250 | Yusimi Sobrino-bonilla | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2014-11-03 |
| 1639467566 | Komal Saggu | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2011-07-12 |
| Find all providers in RIDGEWOOD | ||||
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| 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.