MAGGIE RUDERMAN


Address: 830 Harrison Ave, Boston, MA 02118-2905
Phone: 6176387073

MAGGIE RUDERMAN (NPI# 1457950131) 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) 1457950131
Entity Type Individual
Full Name MAGGIE RUDERMAN
Credential LCGC
Practice Address 830 Harrison Ave
Boston
MA 02118-2905
Mailing Address 81 Noblehurst Ave
Pittsfield
MA 01201-6413
Practice Telephone 6176387073
Enumeration Date 2020-10-22
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 170300000X Genetic Counselor, MS GC601 MA Other Service Providers

Office Location

Street Address 830 HARRISON AVE
City BOSTON
State MA
Zip Code 02118-2905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316937436 Minh Tam Truong Radiology 830 Harrison Ave, Moakley Building Ll100, Boston, MA 02118 2005-10-28
1760096606 Fabio Petrocca Student in an Organized Health Care Education/Training Program 830 Harrison Ave, Boston, MA 02118-2905 2020-09-08
1801447495 Kailey Vitale Speech-Language Pathologist 830 Harrison Ave, Boston, MA 02118-2905 2019-09-25
1437718228 Kayla Mcdonald Physician Assistant 830 Harrison Ave, Moakley, Suite 3400, Boston, MA 02118 2019-06-06
1154984888 Elizabeth Tiani Nurse Practitioner 830 Harrison Ave, Boston, MA 02118 2019-04-18
1669938981 Lynsie Rae Adams Nurse Practitioner 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2019-02-11
1548754385 Lisa Jiyoung Kim Nurse Practitioner 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2018-06-15
1891226650 Navid Alavi Internal Medicine 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2017-03-23
1952842189 Samuel Rubin Otolaryngology 830 Harrison Ave, 1st Floor, Boston, MA 02118-2905 2017-03-20
1487194833 Tashia Prince-lacombe Nurse Practitioner 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2017-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 170300000X
Grouping Other Service Providers
Classification Genetic Counselor, MS

Taxonomy Definition

A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
Notes: Source: National Society of Genetic Counselors [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376144899 Christine Keywan Genetic Counselor, MS 320 D St Unit 451, Boston, MA 02127-1284 2020-11-02
1457968992 Kaitlin Winston O'connell Genetic Counselor, MS 243 Charles St Fl 3, Boston, MA 02114-3002 2020-09-29
1740821271 Kayla Hamilton Genetic Counselor, MS 450 Brookline Ave # D-1045, Boston, MA 02215-5450 2019-10-07
1114571676 Abigail Sassaman Genetic Counselor, MS 75 Francis Street Center for Fetal Medicine, Boston, MA 02115 2019-08-01
1265999841 Janine Elizabeth Kakishita Genetic Counselor, MS 450 Brookline Ave # Da1047, Boston, MA 02215-5450 2019-03-01
1437622370 Anne Nyberg Genetic Counselor, MS 850 Harrison Ave Fl Yawkey6, Boston, MA 02118-4001 2019-01-03
1609355395 Yiru Chen Zhao Genetic Counselor, MS 55 Fruit St # 10b, Boston, MA 02114-2696 2018-08-13
1659882249 Shraddha V Gaonkar Genetic Counselor, MS 450 Brookline Ave # Dana1045, Boston, MA 02215-5418 2017-10-23
1487165775 Melissa Larocca Genetic Counselor, MS 450 Brookline Ave # Dana1040, Boston, MA 02215-5418 2017-10-13
1902324155 Claire Hacking Genetic Counselor, MS 830 Harrison Ave # Ll236, Boston, MA 02118-2905 2017-09-07
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Competitor

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City BOSTON
Zip Code 02118

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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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