NPIMap

Individual provider Active NPI

Hammad S Choudhry, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Bayonne, NJ
National Provider Identifier
1346285079
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MA07619400 Issued in NJ
Practice address
622 Broadway
Bayonne, NJ 07002-3821
Phone
(201) 436-2800
Fax
(201) 436-1353
NPI assigned
Jun 17, 2006
Last updated
Jun 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MA07619400 NJ Primary
Nephrology Physician 207RN0300X 25MA07619400 NJ

Addresses

Primary practice location

622 Broadway
Bayonne, NJ 07002-3821

Mailing address

622 Broadway
Bayonne, NJ 07002-3821
Phone (201) 436-2800

Other identifiers 1

IdentifierTypeStateIssuer
0123293MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060918000515 NJ Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Nephrology 8123023538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine, Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dominick Condo, MD PAGroup PAC ID 5890689871, 4 clinicians

Practice addresses (Care Compare)

622 Broadway
Bayonne, NJ 07002-3821
Phone (201) 436-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Inpatient Resources, LLC CurrentSince Aug 1, 2023 Accepting new patients
Ijkg Opco LLC Current Accepting new patients
Dominick Condo, MD PA CurrentSince Dec 15, 2018 Accepting new patients
Central Jeresy Nephorology Nephrology Past Accepting new patients
North Edison Family Practice Group, LLC Nephrology Past Accepting new patients
St. Anns Home for the Aged Corp Past Accepting new patients
Dominick Condo MD PA PastSince Dec 15, 2018 Accepting new patients
Ijkg Opco LLC Past Accepting new patients

Locations

29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000

622 Broadway
Bayonne, NJ 07002
Phone (201) 436-2800

1 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 853-7000

Interoperability endpoints

  • Direct secure messaging: hammad.choudhry@direct.bayonnemedicalcenter.md

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1346285079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023821",
            "telephone_number": "201-436-2800",
            "fax_number": "201-436-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023821",
            "telephone_number": "201-436-2800",
            "fax_number": "201-436-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "HAMMAD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07619400",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07619400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123293",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

Verify at the official NPI Registry.