Active NPI
Hudson MD Group
- Family Medicine Physician
- Englewood Cliffs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUDSON MD GROUP
- Practice address
- 464 Hudson Ter Ste 201
Englewood Cliffs, NJ 07632-2917 - Phone
- (201) 503-0828
- NPI assigned
- Aug 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajavelu Dharmaraj
- Title
- Accounts Manager
- Phone
- (203) 648-5087
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
464 Hudson Ter Ste 201
Englewood Cliffs, NJ 07632-2917
Mailing address
464 Hudson Ter Ste 201
Englewood Cliffs, NJ 07632-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200720001687 | NJ | Part B Supplier - Clinic/Group Practice | 6103240478 |
Receives reassigned benefits from 166 practitioners Practice locations: West Orange, NJ; Maplewood, NJ; Newark, NJ; Norwood, NJ; Palisades Park, NJ; Ridgefield, NJ; Toms River, NJ; Union, NJ… |
National Provider Directory
National Provider DirectoryLocations (25 of 46)
73 Bloomfield Ave
#1
Caldwell, NJ 07006
73 Bloomfield Ave
Caldwell, NJ 07006
Phone (973) 403-3200
73 Bloomfield Ave
Fl 1
Caldwell, NJ 07006
Phone (973) 403-3200
125 Washington Ave
#1
Carteret, NJ 07008
1001 Clifton Ave
Ste B
Clifton, NJ 07013
1001 Clifton Ave
Ste 2B
Clifton, NJ 07013
15 Prospect Ln
Colonia, NJ 07067
Phone (732) 827-0028
476 Ridgedale Ave
East Hanover, NJ 07936
Phone (862) 701-5243
1829 Hudson Park
Edgewater, NJ 07020
Phone (201) 941-4111
469 Morris Ave
Ste 1M
Elizabeth, NJ 07208
200 Grand Ave
Ste 201
Englewood, NJ 07631
Phone (201) 944-3800
464 Hudson Ter
Ste 200
Englewood Cliffs, NJ 07632
Phone (201) 408-5442
24-07 Broadway
Ste A
Fair Lawn, NJ 07410
525 Main St
#1
Fort Lee, NJ 07024
1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011
1590 Lemoine Ave
Ste 102
Fort Lee, NJ 07024
Phone (201) 491-0050
4677 US Highway 9
Ste 9
Howell, NJ 07731
377 Jersey Ave
Ste 320
Jersey City, NJ 07302
822 N Wood Ave
Ste 201
Linden, NJ 07036
Phone (732) 492-7936
520 N Wood Ave
Linden, NJ 07036
Phone (908) 587-1330
200 S Orange Ave
#165
Livingston, NJ 07039
Phone (973) 322-7580
110 Marter Ave
Ste 102
Moorestown, NJ 08057
Phone (856) 222-4100
219 Livingston Ave
#A
New Brunswick, NJ 08901
306 Dr Martin Luther King Jr Blvd
#B4
Newark, NJ 07102
306 Dr Martin Luther King Jr Blvd
Ste 4
Newark, NJ 07102
Practitioners & affiliated clinicians
Practitioners 229
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Edgewater, NJ
- NPI 1659803278
Internal Medicine, NJ
-
- Neurology with Special Qualifications in Child Neurology Physician
- Livingston, NJ
- NPI 1457794257
NJ
-
- Internal Medicine Physician
- Carteret, NJ
- NPI 1730257619
Internal Medicine, NJ
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Metuchen, NJ
- NPI 1649291410
NJ
-
- Internal Medicine Physician
- Hackensack, NJ
- NPI 1780624718
Internal Medicine, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565568000000",
"number": "1497301998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 HUDSON TER STE 201",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 HUDSON TER STE 201",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322917",
"telephone_number": "201-503-0828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON MD GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A",
"authorized_official_last_name": "DHARMARAJ",
"authorized_official_first_name": "RAJAVELU",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "203-648-5087"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.