DR. VALERY ROUDNITSKY M.D.
NPI 1629228168
Student in an Organized Health Care Education/Training Program in Newark, NJ
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Valery Roudnitsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 1,615 clinicians in this Medicare group
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYKings County Hospital Center
Acute Care Hospitals · Brooklyn, NYReferred 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.
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.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
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.
Which organizations bill Medicare for Valery Roudnitsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Valery Roudnitsky reassigns Medicare benefits to 3 organizations: New York City Health And Hospitals Corporation (Staten Island, NY), Physician Affiliate Group Of New York PC (New York, NY) and Coney Island Medical Practice Plan, P.C. (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valery Roudnitsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Valery Roudnitsky, M.D. · NPI 1629228168
Student in an Organized Health Care Education/Training Program provider in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since September 21, 2008.
## Identity
- **NPI:** 1629228168 (Entity type: Individual)
- **Enumerated:** September 21, 2008
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 150 BERGEN ST, Newark, NJ 07103-2496
- **Phone:** (973) 972-4300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): New York City Health And Hospitals Corporation (NPI 1285642512, Staten Island, NY); Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); Coney Island Medical Practice Plan, P.C. (NPI 1386951762, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** June 7, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1629228168) · Data from the CMS NPPES public registry.