Individual provider Active NPI

Adam Choudhry, PA-C

  • Physician Assistant
  • Phillipsburg, NJ
National Provider Identifier
1033896261
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1205 US Highway 22
Phillipsburg, NJ 08865-4100
Phone
(908) 213-2211
NPI assigned
Jun 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1205 US Highway 22
Phillipsburg, NJ 08865-4100

Mailing address

621 5TH St
Belvidere, NJ 07823-1807
Phone (908) 938-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513003780 NJ Practitioner - Physician Assistant 2365883006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Doctor Is in, PAGroup PAC ID 0547246050, 8 clinicians

Practice addresses (Care Compare)

54 Old Hwy 22
Clinton, NJ 08809-1389
Phone (908) 730-6363

Hospital & facility affiliations

  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: adam.choudhry.p1@direct.tdii.nextgenshare.com

Organizations & group practices 1

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 1

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1033896261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 5TH ST",
            "city": "BELVIDERE",
            "state": "NJ",
            "postal_code": "078231807",
            "telephone_number": "908-938-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 US HIGHWAY 22",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088654100",
            "telephone_number": "908-213-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "ADAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.