NPIMap

Individual provider Active NPI

Mohammad A Chaudhry, M.D.

  • Internal Medicine Physician
  • Union City, NJ
National Provider Identifier
1033119573
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07811600 Issued in NJ
Practice address
570 32ND St
Union City, NJ 07087-2434
Phone
(201) 758-7250
Fax
(201) 758-7251
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07811600 NJ Primary

Addresses

Primary practice location

570 32ND St
Union City, NJ 07087-2434

Mailing address

570 32ND St
Union City, NJ 07087-2434
Phone (201) 758-7250

Other identifiers 9

IdentifierTypeStateIssuer
425AL1OtherNJEMPIRE BC UNION CITY
0071994MedicaidNJ
2K8676OtherNJHEALTHNET
3745405OtherNJAETNA HMO ID #
P00405000OtherNJRAILROAD MEDICARE
7072691OtherNJAETNA PPO ID #
2590032OtherNJGHI
P3548017OtherNJOXFORD
425AL2OtherNJEMPIRE BC ENGLEWOOD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518001041 NJ Practitioner - Internal Medicine 0547201691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diligent Medical Care PCGroup PAC ID 2668640509, 4 clinicians

Practice addresses (Care Compare)

570 -574
Union City, NJ 07087-2434

570 32ND St
Union City, NJ 07087-2434
Phone (201) 758-7250

Hospital & facility affiliations

  • Promise Care NJ Home health agency, West New York, NJ, CCN 317064
  • Amedisys Home Health Home health agency, Hackensack, NJ, CCN 317047
  • Palisades Medical Center Hospital, North Bergen, NJ, CCN 310003
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Diligent Medical Care PC Internal Medicine CurrentSince May 14, 2011 Accepting new patients
Therapro Medical and Surgical Rehabilitation, P.C. Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Humc Opco LLC Past Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Jersey City Medical Center Past Accepting new patients

Locations

570 32nd St
Union City, NJ 07087
Phone (201) 758-7250

3807 Bergenline Ave
Union City, NJ 07087
Phone (201) 414-6277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBACCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBACCA/Endpoint/DBACCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1033119573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 32ND ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872434",
            "telephone_number": "201-758-7250",
            "fax_number": "201-758-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 32ND ST",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872434",
            "telephone_number": "201-758-7250",
            "fax_number": "201-758-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07811600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC UNION CITY",
            "identifier": "425AL1",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071994",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K8676",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID #",
            "identifier": "3745405",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO ID #",
            "identifier": "7072691",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2590032",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3548017",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC ENGLEWOOD",
            "identifier": "425AL2",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.