Michael Yudd, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA04202000 Issued in NJ

Practice address

55 Annin Rd
West Caldwell, NJ 07006-6801

Phone

(973) 403-8015

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kidney and Hypertension Consultant, PLLC

  • Nephrology Physician
  • Utica, NY
  • NPI 1699796623
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497762975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ANNIN RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066801",
            "telephone_number": "973-403-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ANNIN RD",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066801",
            "telephone_number": "973-403-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUDD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04202000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Bradley Williford, LPC
• Kathleen Winslow, MS OTR/L
• Anthony Wolthoff
• Megan Anne Wujciak
• Jennifer F. Wulin, OTR
• Toni Ann Zangrilli, DDS
• Barbara A Zelop, LPC
• Carolin Zieton, PHARMD, RPH

• Nephrology Physician in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.