Douglas Walter Chudzik, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA03117000 Issued in NJ

Practice address

31 Village CT
Hazlet, NJ 07730

Phone

(732) 264-1212

Fax

(732) 888-5452

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
• Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard Bandong, APN

  • Primary Care Nurse Practitioner
  • Hopelawn, NJ
  • NPI 1811705833
  Medicare reassignment
• Jeanmarie Chudzik, D.O.

  • Internal Medicine Physician
  • Hazlet, NJ
  • NPI 1679772495
  Medicare reassignment

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

• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Holmdel, NJ
  • NPI 1740907336

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Holmdel, NJ
  • NPI 1760994412
  Care Compare affiliation
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Manahawkin, NJ
  • NPI 1831601590
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1477586931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-264-1212",
            "fax_number": "732-888-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "07730",
            "telephone_number": "732-264-1212",
            "fax_number": "732-888-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDZIK",
        "first_name": "DOUGLAS",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA03117000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1282808",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children'S Dentistry of Hazlet P.a.
• Chiropractic Family Health Center
• Joon Seok Cho, DDS
• Chronic Pain Solutions, LLC
• Alexandra Ellen Chrystal
• Jeanmarie Chudzik, D.O.
• Cortney Clarke, LSW
• Maria F Clemente, MD
• Erica Colavito, PA-C
• Nancy Virginia Cole, PTA

• Internal Medicine Physician in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.

Verify at the official NPI Registry.