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Katie Lynn Rudy-tomczak (FNP)

Katie Lynn Rudy-tomczak (FNP) is a health care provider specializes in Nurse Practitioner. She is associated with medical group practice CRYSTAL RUN HEALTHCARE LLP and is affiliated with hospital of Orange Regional Medical Center.

profile-icon Basic Information

Practice Location 225 Summit Ave, Montvale, NJ 07645-1523, US
Practice Location Phone201-775-7000
Practice Location Fax
GenderFemale
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2010
NPI ?1235428053
PECOS ID4183800055
Enrollment IDI20110511000425
Entity TypeIndividual
Enumeration Date ? Apr 1, 2011
Last Update Date ? Oct 4, 2019
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Katie Lynn Rudy-tomczak

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily F336499New York
Nurse PractitionerFamily 26NJ00947900New Jersey

Medicare-icon Medicare Participation of Katie Lynn Rudy-tomczak

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Katie Lynn Rudy-tomczak

Medical Group PracticeCrystal Run Healthcare Llp
Affiliation 1 Orange Regional Medical Center

legacy-id-icon Legacy Provider IDs of Katie Lynn Rudy-tomczak

Provider IdIssuer StateIssuer TypeIssuer
03331633New YorkMedicaid