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JUDITH SIMMONS NEUDERFER NP
NPI 1083652200
Nurse Practitioner - Pediatrics in Rochester, NY

Active since June 02, 2006PECOS Enrolled
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-2575(585) 922-5033 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Judith Simmons Neuderfer Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDITH SIMMONS NEUDERFER NP (NPI 1083652200) is an individual pediatrics provider in Rochester, New York, licensed in New York (380076) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083652200
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJUDITH SIMMONS NEUDERFERCredential: NP
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address1425 Portland AveRochester, NY 14621-3001 · (585) 922-2575 · Fax (585) 922-5033
Phone(585) 922-2575
Fax(585) 922-5033
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJanuary 12, 2023
NPPES CertifiedJanuary 12, 2023
✔ NPI 1083652200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 380076
1425 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Other Identifiers 1

Medicaid02565222NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Simmons Neuderfer Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

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 Judith Neuderfer's NPI number?

The NPI number for Judith Neuderfer is 1083652200. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Judith Neuderfer located?

Judith Neuderfer practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-2575.

What is Judith Neuderfer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Judith Neuderfer enrolled in Medicare?

Yes. Judith Neuderfer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Neuderfer was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.