Individual provider Active NPI

Wesley Chodos, D.O.

  • Reproductive Endocrinology Physician
  • Lumberton, NJ
National Provider Identifier
1376970061
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
DO2480900 Issued in NJ
Practice address
16 Sunflower Cir
Lumberton, NJ 08048-4862
Phone
(609) 828-1131
NPI assigned
Sep 26, 2013
Last updated
Sep 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X DO2480900 NJ Primary

Addresses

Primary practice location

16 Sunflower Cir
Lumberton, NJ 08048-4862

Mailing address

16 Sunflower Cir
Lumberton, NJ 08048-4862
Phone (609) 828-1131

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2480900NJMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David N. Goldberg, DO Facoog PC PastSince Jan 15, 2006 Accepting new patients

Organizations & group practices 1

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1376970061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUNFLOWER CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484862",
            "telephone_number": "609-828-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SUNFLOWER CIR",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080484862",
            "telephone_number": "609-828-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOS",
        "first_name": "WESLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "DO2480900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.