Edward Rudolph
NPI 1457649824 · General Practice Dentistry · New Square, NY
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Rudolph is a General Practice Dentistry provider in New Square, NY (NPI 1457649824).
Provider details
- NPI number
- 1457649824
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 056060-1 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2012-07-17
Frequently asked questions
- What is Edward Rudolph's NPI number?
- Edward Rudolph's National Provider Identifier (NPI) is 1457649824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Rudolph's specialty?
- Edward Rudolph is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edward Rudolph located?
- Edward Rudolph's practice location on file with NPPES is 728 N Main St, New Square, NY 10977-8916.
- What is Edward Rudolph's phone number?
- The practice phone number listed in the NPPES registry for Edward Rudolph is (845) 354-9300.
- Does Edward Rudolph accept Medicare?
- Edward Rudolph is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Rudolph's NPI active?
- Yes — Edward Rudolph's NPI (1457649824) is active in the NPPES registry as of the last update on 2012-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.