DR. VALERY ROUDNITSKY M.D.
NPI 1629228168
Student in an Organized Health Care Education/Training Program in Newark, NJ

Active since September 21, 2008PECOS EnrolledAccepts Medicare Assignment
150 BERGEN ST, NEWARK, NJ 07103(973) 972-4300 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Valery Roudnitsky M.d. NPPES

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

DR. VALERY ROUDNITSKY M.D. (NPI 1629228168) is an individual student in an organized health care education/training program in Newark, New Jersey, licensed in New York (265387) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with South Brooklyn Health, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629228168
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. VALERY ROUDNITSKYCredential: M.D.
Location Address150 BERGEN STNewark, NJ 07103-2496
Mailing Address2655 E 26th St, Apt First FloorBrooklyn, NY 11235-2474 · (347) 374-5957
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 21, 2008
Last NPPES UpdateJune 7, 2012
NPI 1629228168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · 265387
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 BERGEN ST, Newark, NJ 07103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Valery Roudnitsky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42468167
PECOS Enrollment IDI20210324002608
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Brooklyn Health

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330196
Location2601 Ocean ParkwayBrooklyn, NY 11235 · Kings County
Emergency services Birthing friendly

Kings County Hospital Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330202
Location451 Clarkson AvenueBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims88 services$2.43 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$5.52 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each A4415
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.78 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.22 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims1,650 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Counselor (Professional)
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Emergency Medicine
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
150 BERGEN ST
NEWARK, NJ 07103

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 Valery Roudnitsky's NPI number?

The NPI number for Valery Roudnitsky is 1629228168. It was assigned to this individual provider in the NPPES registry on September 21, 2008.

Where is Valery Roudnitsky located?

Valery Roudnitsky practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-4300.

What is Valery Roudnitsky's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Valery Roudnitsky enrolled in Medicare?

Yes. Valery Roudnitsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Valery Roudnitsky affiliated with any hospitals?

According to CMS data, Valery Roudnitsky is affiliated with South Brooklyn Health and Kings County Hospital Center.

When was this NPI record last updated?

The NPPES record for Valery Roudnitsky was last updated on June 7, 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.