DR. GLENN RUDNER (NPI# 1184889008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184889008 |
| Entity Type | Individual |
| Full Name | DR. GLENN RUDNER |
| Credential | DPM |
| Practice Address |
1879 Madison Ave New York NY 10035-2709 |
| Practice Telephone | 2124234500 |
| Mailing Telephone | 2124234500 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
246708 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PENDING | 05 |
| Street Address |
1879 MADISON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235183559 | Theodore Hanley | Specialist | 1879 Madison Ave, New York, NY 10035-2709 | 2006-05-20 |
| 1609127588 | Thorellen Dean Perry | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-10-02 |
| 1124379169 | Candice Diaz | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-10-01 |
| 1174898274 | Marcine Parris | Licensed Practical Nurse | 1879 Madison Ave, 1, New York, NY 10035-2709 | 2012-03-21 |
| 1558634659 | The Institute for Family Health | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2012-02-21 |
| 1386924777 | Caitlin E. Murphy | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-08-17 |
| 1508153412 | Erin M Reiss | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-06-30 |
| 1629368402 | Debra S Gross | Dietitian, Registered | 1879 Madison Ave, New York, NY 10035-2709 | 2011-04-13 |
| 1972800589 | Nisha Shandal | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-02-16 |
| 1134425945 | Allison Lene Hesterman | Social Worker | 1879 Madison Ave, New York, NY 10035-2709 | 2011-01-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879802 | Vanguard Medical Services Pllc | Pathology | 233 Broadway Rm 2750, New York, NY 10279-2704 | 2020-07-23 |
| 1386061133 | Lee J. Slavutin | Pathology | 100 Riverside Drive, Apt 15d, New York, NY 10024 | 2014-03-18 |
| 1043585714 | Deborah Williams | Pathology | 526 W 122nd St, New York, NY 10027-5814 | 2012-03-14 |
| 1154618825 | Adela Cimic | Pathology | 630 W 168 St, Department of Pathology, New York, NY 10032 | 2011-07-01 |
| 1972894475 | Anne Grabenstetter | Pathology | 1161 York Ave Apt 5d, New York, NY 10065-7969 | 2011-05-02 |
| 1073804654 | Dominick Santoriello | Pathology | 630 W 168th St # Vc14-224, New York, NY 10032-3725 | 2011-04-29 |
| 1003111774 | Iris Teo | Pathology | 504 E 89th St, New York, NY 10128-7872 | 2011-01-11 |
| 1699078667 | Neil Renwick | Pathology | 500 East 53rd Street, Apt 10a, New York, NY 10065-7949 | 2010-12-14 |
| 1396074043 | Boyce P Bennett | Pathology | 245 E 93rd St Apt 6f, New York, NY 10128-3963 | 2009-12-09 |
| 1285895847 | Irini Andrea Scordi-bello | Pathology | 2021 1st Ave, Ph1, New York, NY 10029-5093 | 2008-06-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.