Active NPI
Eirum Chaudhri, M.D.
- Gastroenterology Physician
- Old Tappan, NJ
National Provider Identifier
1134461510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA06198800
- Practice address
- 2 Stewart CT
Old Tappan, NJ 07675-7068 - Phone
- (201) 750-1573
- NPI assigned
- Mar 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 25MA06198800 | NJ | Primary |
Addresses
Primary practice location
2 Stewart CT
Old Tappan, NJ 07675-7068
Mailing address
2 Stewart CT
Old Tappan, NJ 07675-7068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06198800 | NJ | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363996800000",
"number": "1134461510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STEWART CT",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STEWART CT",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757068",
"telephone_number": "201-750-1573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHRI",
"first_name": "EIRUM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-23",
"last_updated": "2013-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NJ",
"license": "25MA06198800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Tappan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.