Individual provider Active NPI

Eliot Howard Chodosh, M.D.

  • Neurology Physician
  • Wayne, NJ
National Provider Identifier
1235156969
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA04293200 Issued in NJ
Practice address
1680 Route 23 Ste 300
Wayne, NJ 07470-7520
Phone
(973) 942-4778
Fax
(973) 942-7020
NPI assigned
Jul 17, 2006
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 25MA04293200 NJ Primary

Addresses

Primary practice location

1680 Route 23 Ste 300
Wayne, NJ 07470-7520

Mailing address

1680 Route 23 Ste 300
Wayne, NJ 07470-7520
Phone (973) 942-4778

Other identifiers 1

IdentifierTypeStateIssuer
1920707MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001078 NJ Practitioner - Neurology 3476533837

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.29 of 100Reported as group
Quality
90
Improvement activities
40
Cost
77.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA04293200NJMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates of New Jersey, P.C. CurrentSince Aug 6, 2019 Accepting new patients
St Josephs Medical Group PC PastSince Oct 28, 2024 Accepting new patients

Locations

1680 Route 23
Ste 300
Wayne, NJ 07470
Phone (973) 782-6073

Interoperability endpoints

  • Direct secure messaging: elioth.chodosh@northjerseyneurologicassociates.chartmakerdirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1235156969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 300",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-942-4778",
            "fax_number": "973-942-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 300",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707520",
            "telephone_number": "973-942-4778",
            "fax_number": "973-942-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOSH",
        "first_name": "ELIOT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA04293200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1920707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.