Active NPI
Charles K. Dadzie, MD
- Pediatric Pulmonology Physician
- Neptune, NJ
National Provider Identifier
1104882109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- MA3895500
- Practice address
- 19 Davis Ave FL 5
Neptune, NJ 07753-4488 - Phone
- (732) 776-4268
- Fax
- (732) 776-3178
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 25MA03895500 | NJ | |
| Pediatric Pulmonology Physician | 2080P0214X | MA3895500 | NJ | Primary |
Addresses
Primary practice location
19 Davis Ave FL 5
Neptune, NJ 07753-4488
Mailing address
19 Davis Ave FL 5
Neptune, NJ 07753-4488
Phone (732) 776-4268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0452009 | Medicaid | NJ |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.44 of 100
- Quality
- 72.96
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA3895500 | NJ | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients |
Locations
61 Davis Ave
Neptune, NJ 07753
Phone (732) 776-4271
61 Davis Ave
#1
Neptune, NJ 07753
Phone (732) 776-4271
19 Davis Ave
Fl 5
Neptune City, NJ 07753
Phone (732) 776-4860
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Interoperability endpoints
- charles.dadzie@direct.hackensackmeridian.org
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.
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1104882109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 5",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-776-4268",
"fax_number": "732-776-3178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DAVIS AVE FL 5",
"city": "NEPTUNE",
"state": "NJ",
"postal_code": "077534488",
"telephone_number": "732-776-4268",
"fax_number": "732-776-3178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADZIE",
"first_name": "CHARLES",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NJ",
"license": "25MA03895500",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NJ",
"license": "MA3895500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0452009",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neptune, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.