| Dr Marvin Ira Ruderman, MD | |
|
1099 Bloomfield Ave, West Caldwell, NJ 07006-7129 | |
| (973) 439-7000 | |
| (973) 439-7020 |
| Full Name | Dr Marvin Ira Ruderman |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 50 Years |
| Location | 1099 Bloomfield Ave, West Caldwell, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427129006 | NPI | - | NPPES |
| 1K5674 | Other | HEALTHNET PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA038683 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Patient Care | West orange, NJ | Home health agency |
| Saint Barnabas Medical Center | Livingston, NJ | Hospital |
| Morristown Medical Center | Morristown, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Barnabas Health Medical Group Pc | 9537316955 | 1007 |
| Entity Name | Barnabas Health Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841557246 PECOS PAC ID: 9537316955 Enrollment ID: O20120820000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin Ira Ruderman, MD 1099 Bloomfield Ave, West Caldwell, NJ 07006-7129 Ph: (973) 439-7000 | Dr Marvin Ira Ruderman, MD 1099 Bloomfield Ave, West Caldwell, NJ 07006-7129 Ph: (973) 439-7000 |
Ms. Esha Khoshnu, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1140 Bloomfield Ave, Suite 202, West Caldwell, NJ 07006 Phone: 973-575-1107 Fax: 732-563-0035 | |
Mr. Stuart G Mendelson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1140 Bloomfield Ave, Suite 207, West Caldwell, NJ 07006 Phone: 973-575-5065 Fax: 973-575-5270 |