1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Pediatrics
  6. NPI Profile

ADA RUDERMAN M.D.
NPI 1114084399
Pediatrics - Adolescent Medicine in Brooklyn, NY

Active since January 03, 2007PECOS Enrolled
1208 AVENUE Z, BROOKLYN, NY 11235(718) 368-2699(718) 368-2544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ada Ruderman M.d. NPPES

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

ADA RUDERMAN M.D. (NPI 1114084399) is an individual adolescent medicine provider in Brooklyn, New York, licensed in New York (205782) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114084399
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameADA RUDERMANCredential: M.D.
Location Address1208 AVENUE ZBrooklyn, NY 11235-4302
Mailing Address1208 Avenue ZBrooklyn, NY 11235-4302 · (718) 368-2699 · Fax (718) 368-2544
Phone(718) 368-2699
Fax(718) 368-2544
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114084399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in NY · 205782
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1208 AVENUE Z, Brooklyn, NY 11235
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING51178NY
Medicaid01750150NY
Medicare ID-Type Unspecified541981NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ada Ruderman M.d. 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADA RUDERMAN MEDICAL PC
Clinic/Center
1208 AVENUE Z
BROOKLYN, NY 11235
Kings County (718) 368-2699

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 Ada Ruderman's NPI number?

The NPI number for Ada Ruderman is 1114084399. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Ada Ruderman located?

Ada Ruderman practices at 1208 Avenue Z, Brooklyn, NY 11235. The listed phone number is (718) 368-2699.

What is Ada Ruderman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Ada Ruderman enrolled in Medicare?

Yes. Ada Ruderman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ada Ruderman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.