MR. CRAIG J. RUDOLPH PA
NPI 1083632186
Physician Assistant in Bay Shore, NY
About Mr. Craig J. Rudolph Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CRAIG J. RUDOLPH PA (NPI 1083632186) is an individual physician assistant in Bay Shore, New York, licensed in New York (003171) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Craig J. Rudolph Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Craig Rudolph's NPI number?
The NPI number for Craig Rudolph is 1083632186. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Craig Rudolph located?
Craig Rudolph practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3000.
What is Craig Rudolph's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Craig Rudolph enrolled in Medicare?
Yes. Craig Rudolph is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Craig Rudolph was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
