Individual provider Active NPI

Alexander Gudz, MD

  • Obstetrics & Gynecology Physician
  • Maplewood, NJ
National Provider Identifier
1346280336
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07860000 Issued in NJ
Practice address
749 Irvington Ave
Maplewood, NJ 07040-1607
Phone
(973) 762-6033
Fax
(973) 762-6088
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07860000 NJ Primary
Obstetrics & Gynecology Physician 207V00000X 231198 NY

Addresses

Primary practice location

749 Irvington Ave
Maplewood, NJ 07040-1607

Mailing address

14 Sandalwood Dr
Livingston, NJ 07039-1409
Phone (973) 758-9459

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
I20050223000363 NJ Practitioner - Obstetrics/Gynecology 3173576840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

62 Main Ave
Suite 202
Wallington, NJ 07057-1183
Phone (973) 986-5576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231198NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Gudz LLC Obstetrics & Gynecology CurrentSince Jan 28, 2005 Accepting new patients
Hudson MD Group CurrentSince Aug 1, 2022 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

193 US Highway 9
Ste 1C
Manalapan, NJ 07726
Phone (732) 677-2200

749 Irvington Ave
Maplewood, NJ 07040
Phone (973) 762-6033

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

62 Main Ave
Wallington, NJ 07057
Phone (973) 471-3555

62 Main Ave
Ste 202
Wallington, NJ 07057
Phone (973) 986-5576

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1346280336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 SANDALWOOD DR",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391409",
            "telephone_number": "973-758-9459",
            "fax_number": "973-758-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 IRVINGTON AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401607",
            "telephone_number": "973-762-6033",
            "fax_number": "973-762-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDZ",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07860000",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.