Organization Active NPI

Hudson MD Group

  • Family Medicine Physician
  • Englewood Cliffs, NJ
National Provider Identifier
1497301998
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 12, 2019

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations (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.

View all 229

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.

Verify at the official NPI Registry.