Active NPI
Kunal Ashwin Chaudhary, DO
- Psychiatry Physician
- Bordentown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MB12371700
- Practice address
- 100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275 - Phone
- (609) 689-5725
- NPI assigned
- Apr 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OT019803 | PA | |
| Psychiatry Physician | 2084P0800X | 25MB12371700 | NJ | Primary |
Addresses
Primary practice location
100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275
Mailing address
100 K Johnson Blvd Ste 201
Bordentown, NJ 08505-2275
Phone (609) 689-5725
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kunal.Chaudhary.1@12833.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 K Johnson Blvd N
2ND Floor
Bordentown, NJ 08505-4713
Phone (609) 528-8884
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.13 of 100
- Quality
- 82.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.91 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT019803 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Physician Group, Inc. | Psychiatry | Current | Accepting new patients |
| St Luke's Physician Group Inc | Current | Accepting new patients | |
| Capital Health Medical Group | Psychiatry | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients |
Locations
100 K Johnson Blvd
Ste 201
Bordentown, NJ 08505
Phone (609) 528-8884
100 K Johnson Blvd
Fl 2
Bordentown, NJ 08505
Phone (609) 303-4300
3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
1700 St Lukes Blvd
Easton, PA 18045
Phone (484) 526-4838
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300
Interoperability endpoints
- kunal.chaudhary@slpg.direct-sluhn.org
- https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
- kunal.chaudhary.1@12833.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
dba St. Luke's Primary Care Orwigsburg
- Family Medicine Physician
- Orwigsburg, PA
- NPI 1710845144
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bethlehem, PA
- NPI 1326061581
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1477173771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 K JOHNSON BLVD STE 201",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085052275",
"telephone_number": "609-689-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 K JOHNSON BLVD STE 201",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085052275",
"telephone_number": "609-689-5725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARY",
"first_name": "KUNAL",
"middle_name": "ASHWIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-16",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "OT019803",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB12371700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kunal.Chaudhary.1@12833.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 K Johnson Blvd Ste 201",
"city": "Bordentown",
"state": "NJ",
"country_code": "US",
"postal_code": "085052275",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.