DR. MARVIN IRA RUDERMAN M.D. NPI 1427129006

NPI Information

NPI: 1427129006
Provider Name: DR. MARVIN IRA RUDERMAN, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Specialization: Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 1099 BLOOMFIELD AVE
WEST CALDWELL, NJ
ZIP 07006
Phone: (973) 439-7000

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NPI Details

DR. Marvin Ira Ruderman, M.D. is a neurology psychiatry neurology in West Caldwell, NJ with 50 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Marvin Ira Ruderman, M.D. NPI is 1427129006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1976

The provider's business location address is:

1099 BLOOMFIELD AVE
WEST CALDWELL, NJ
ZIP 07006-129
Phone: (973) 439-7000
Fax: (973) 439-7020

The NPI 1427129006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MA038683	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1K5674	OTHER		HEALTHNET PROVIDER ID
2	449791	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
3	C09153	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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