Active NPI
Arielle Elizabeth Dudzinski, PA-C
- Physician Assistant
- Lake Hopatcong, NJ
National Provider Identifier
1235407487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA055309
- Practice address
- 174 Edison Rd
Lake Hopatcong, NJ 07849-2217 - Phone
- (973) 663-2700
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA055309 | PA | Primary |
Addresses
Primary practice location
174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Mailing address
710 Baeder Rd
Jenkintown, PA 19046-2237
Phone (973) 534-3735
Other practice location 1
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4355
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://api.platform.athenahealth.com/17698/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1235407487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 BAEDER RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462237",
"telephone_number": "973-534-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 EDISON RD",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078492217",
"telephone_number": "973-663-2700"
}
],
"practiceLocations": [
{
"address_1": "1200 Old York Rd",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013720",
"country_code": "US",
"telephone_number": "215-481-4355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUDZINSKI",
"first_name": "ARIELLE",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA055309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Hopatcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.