Individual provider Active NPI

Sadia R Chaudry, M.D.

  • Family Medicine Physician
  • Fair Lawn, NJ
National Provider Identifier
1528079431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA05862500 Issued in NJ
Practice address
41-04 Goldblatt Ter
Fair Lawn, NJ 07410-5911
Phone
(201) 797-7129
Fax
(201) 703-6982
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA05862500 NJ Primary

Addresses

Primary practice location

41-04 Goldblatt Ter
Fair Lawn, NJ 07410-5911

Mailing address

11 Winding Way
Cedar Grove, NJ 07009-1426
Phone (973) 239-8080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050124000136 NJ Practitioner - Family Practice 8224088745 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA05862500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc. Current Accepting new patients
Urgent Care of NJ CurrentSince Mar 14, 2018 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Feb 28, 2022 Accepting new patients
Browne Medical, LLC CurrentSince May 1, 2019 Accepting new patients
The Back Pain Center, LLC Past Accepting new patients
Premier Medical of NJ Past Accepting new patients

Locations

2090 State Route 27
Edison, NJ 08817
Phone (732) 287-6663

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

907 Oak Tree Ave
Ste H
South Plainfield, NJ 07080
Phone (908) 222-3500

464 Eagle Rock Ave
Ste C
West Orange, NJ 07052
Phone (973) 669-5900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: schaudry@lma-nj.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528079431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDING WAY",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091426",
            "telephone_number": "973-239-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-04 GOLDBLATT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105911",
            "telephone_number": "201-797-7129",
            "fax_number": "201-703-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDRY",
        "first_name": "SADIA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA05862500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.