DR. JEFFREY ALAN RUDOLPH
NPI 1972799955
Case Management in New York, NY

Active since September 24, 2007Opted out of Medicare · through Oct 1, 2027
952 5TH AVE, SUITE 2D, NEW YORK, NY 10075(212) 628-8490(212) 628-8496 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey Alan Rudolph NPPES

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

DR. JEFFREY ALAN RUDOLPH (NPI 1972799955) is an individual case management provider in New York, New York, licensed in New York (006419) and active in the NPI registry since September 2007. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972799955
Entity TypeIndividualMale
Primary Taxonomy251B00000X
Provider Legal NameDR. JEFFREY ALAN RUDOLPH
Location Address952 5TH AVE, SUITE 2DNew York, NY 10075-1740
Mailing Address952 5th Ave, Suite 2dNew York, NY 10075-1740 · (212) 628-8490 · Fax (212) 628-8496
Fax(212) 628-8496
Sole ProprietorYes
Enumeration DateSeptember 24, 2007
NPI 1972799955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
License Licensed in NY · 006419
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
952 5TH AVE, New York, NY 10075

Other Names 1

Professional Name (2)Dr. Jeffrey A. Rudolph Psy.d, Abpp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jeffrey Alan Rudolph has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2019 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2019
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 7

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

Psychologist (Cognitive & Behavioral)
952 5TH AVE, SUITE 1B
NEW YORK, NY 10075
Nurse Practitioner (Psychiatric/Mental Health)
952 5TH AVE, SUITE 1A
NEW YORK, NY 10075
Marriage & Family Therapist
952 5TH AVE
NEW YORK, NY 10075
Social Worker (Clinical)
952 5TH AVE, SUITE 5C
NEW YORK, NY 10075
Psychologist (Clinical)
952 5TH AVE, SUITE 2D
NEW YORK, NY 10075
Psychologist (Clinical)
952 5TH AVE, # 8D
NEW YORK, NY 10075
Social Worker
952 5TH AVE, SUITE 5C
NEW YORK, NY 10075

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 Jeffrey Rudolph's NPI number?

The NPI number for Jeffrey Rudolph is 1972799955. It was assigned to this individual provider in the NPPES registry on September 24, 2007. The provider is also known as Dr. Jeffrey A. Rudolph Psy.D, Abpp.

Where is Jeffrey Rudolph located?

Jeffrey Rudolph practices at 952 5th Ave Suite 2D, New York, NY 10075. The listed phone number is (212) 628-8490.

What is Jeffrey Rudolph's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Is Jeffrey Rudolph enrolled in Medicare?

No. Jeffrey Rudolph has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jeffrey Rudolph was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.