Active NPIIndividual provider

Katie L Rudy-Tomczak, FNP

Nurse Practitioner, Family in Montvale, New Jersey

NPI Number1235428053
Practice location
225 Summit Ave, Montvale, NJ 07645-1523
Fax
—
Last updated
October 14, 2020

Katie Lynn Rudy-Tomczak is a Nurse Practitioner, Family based in Montvale, NJ. Katie Lynn Rudy-Tomczak practices in Montvale, NJ and has the professional credentials of FNP. The NPI Number for Katie Lynn Rudy-Tomczak is 1235428053 and holds a License No. 26NJ00947900 (NJ). The current practice location address for Katie Lynn Rudy-Tomczak is 225 Summit Ave, Montvale, NJ 07645-1523 and can be reached out via phone at 201-775-7000.

Provider Profile Details

NPI Number
1235428053
Provider Name
Katie Lynn Rudy-Tomczak
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
225 Summit Ave, Montvale, NJ 07645-1523
Phone Number
201-775-7000
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
-- Katie Lynn Rudy, FNP (Former Name)
Provider Enumeration Date
April 1, 2011
Last Update Date
October 14, 2020
Certification Date
October 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Summit Ave
Montvale, NJ 07645-1523
Zip
07645-1523
Phone Number
201-775-7000
Montvale, NJ 07645Get directions →

Provider Business Mailing Address Details

Address
155 Crystal Run RD
Middletown, NY 10941-4028
City
Middletown
State
NY
Zip
10941-4028
Phone Number
845-703-6999
Fax Number
845-703-6297

License Information

License Number (1)
26NJ00947900
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
F336499
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katie L Rudy-Tomczak, FNP?

The NPI number of Katie L Rudy-Tomczak, FNP is 1235428053. It was assigned on April 1, 2011 and is currently active in the NPPES registry.

What is the specialty of Katie L Rudy-Tomczak, FNP?

Katie L Rudy-Tomczak, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00947900.

Where does Katie L Rudy-Tomczak, FNP practice?

The practice location is 225 Summit Ave, Montvale, NJ 07645-1523. The office can be reached at 201-775-7000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235428053 directly on the NPPES registry website.

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