EDWARD RUDOLPH
NPI 1457649824
Dentist - General Practice in New Square, NY

Q: What is Edward Rudolph's NPI number?

The NPI number for Edward Rudolph is 1457649824. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Q: What is Edward Rudolph's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Edward Rudolph was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 19, 2011PECOS Enrolled

728 N MAIN ST, NEW SQUARE, NY 10977(845) 354-9300 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edward Rudolph NPPES

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

EDWARD RUDOLPH (NPI 1457649824) is an individual general practice provider in New Square, New York, licensed in New York (056060-1) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457649824

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameEDWARD RUDOLPH

Location Address728 N MAIN STNew Square, NY 10977-8916

Mailing Address490 W 187th St, Apt 4hNew York, NY 10033-1513 · (551) 486-2899

Phone(845) 354-9300

Sole ProprietorNo

Enumeration DateJuly 19, 2011

Last NPPES UpdateJuly 17, 2012

✔ NPI 1457649824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 056060-1

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

728 N MAIN ST, New Square, NY 10977

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Rudolph 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 10977 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

YONATAN ELSTEIN MD

Pediatrics

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 354-9300

REFUAH HEALTH CENTER, INC.

Internal Medicine (Medical Oncology)

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 354-9300

DR. RONEN HIZAMI M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977

Rockland County (845) 354-9300

DR. TERRY SOBLER ORTHODONTIST

Dentist (Orthodontics and Dentofacial Orthopedics)

728 N MAIN ST, REFUAH HEALTH CENTER
SPRING VALLEY, NY 10977

Rockland County (845) 354-9300

ARIEL Z FELSEN DDS

Dentist

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 354-9300

JESSICA RAE PLOTNIKOV MD

Psychiatry & Neurology (Psychiatry)

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 345-9300

DR. NAVID VOSOUGHI D.M.D

Dentist (Endodontics)

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 354-9300

JENNIFER GRUNHUT

Physician Assistant

728 N MAIN ST
NEW SQUARE, NY 10977

Rockland County (845) 354-9300

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 Edward Rudolph's NPI number?

The NPI number for Edward Rudolph is 1457649824. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Edward Rudolph located?

Edward Rudolph practices at 728 N Main St, New Square, NY 10977. The listed phone number is (845) 354-9300.

What is Edward Rudolph's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Edward Rudolph enrolled in Medicare?

Yes. Edward Rudolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edward Rudolph was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.