Individual provider Active NPI

Eric P Chludzinski

  • Chiropractor
  • Fanwood, NJ
National Provider Identifier
1104894534
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00600200 Issued in NJ
Practice address
193 Terrill Rd
Fanwood, NJ 07023-1055
Phone
(908) 288-7129
Fax
(908) 288-7420
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00600200 NJ Primary

Addresses

Primary practice location

193 Terrill Rd
Fanwood, NJ 07023-1055

Mailing address

193 Terrill Rd
Fanwood, NJ 07023-1055
Phone (908) 288-7129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000409 NJ Practitioner - Chiropractic 6507893666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

193 Terrill Rd
Fanwood, NJ 07023-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Chludzinski PC Chiropractor CurrentSince Jul 1, 2006 Accepting new patients
Eric Chludzinski, PC CurrentSince Jul 1, 2006 Accepting new patients

Locations

564 Broadway
Ste 2A
Bayonne, NJ 07002
Phone (201) 339-2822

21 Stangl Rd
#B
Flemington, NJ 08822
Phone (908) 288-7129

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1104894534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231055",
            "telephone_number": "908-288-7129",
            "fax_number": "908-288-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231055",
            "telephone_number": "908-288-7129",
            "fax_number": "908-288-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLUDZINSKI",
        "first_name": "ERIC",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00600200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.