JORDAN BRIELLE RUDY PA-C
NPI 1962330563
Physician Assistant in Toms River, NJ

Q: What is Jordan Rudy's NPI number?

The NPI number for Jordan Rudy is 1962330563. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Q: What is Jordan Rudy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Rudy was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 May 12, 2026PECOS Enrolled

10 STOCKTON DR, TOMS RIVER, NJ 08755(732) 221-4397 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jordan Brielle Rudy Pa-c NPPES

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

JORDAN BRIELLE RUDY PA-C (NPI 1962330563) is an individual physician assistant in Toms River, New Jersey and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962330563

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJORDAN BRIELLE RUDYCredential: PA-C

Location Address10 STOCKTON DRToms River, NJ 08755-6433

Mailing Address505 Haynes RunMedford, NJ 08055-2205 · (732) 221-4397

Phone(732) 221-4397

Sole ProprietorNo

Enumeration DateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1962330563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10 STOCKTON DR, Toms River, NJ 08755

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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)

Jordan Brielle Rudy Pa-c 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 08755 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

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 9

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

ANDREA D LYNN FNP-BC

Nurse Practitioner (Family)