Active NPI
Sadia R Chaudry, M.D.
- Family Medicine Physician
- Fair Lawn, NJ
National Provider Identifier
1528079431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA05862500
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA05862500 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newark Community Health Centers, Inc. | Current | Accepting new patients | |
| Urgent Care of NJ | Current | Accepting new patients | |
| Newark Community Health Centers, Inc | Current | Accepting new patients | |
| Browne Medical, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/HBFIAA
- 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.
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1740345693
NJ
-
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1366993586
-
- Cardiovascular Disease Physician
- Clifton, NJ
- NPI 1316724263
-
- Specialist
- Waldwick, NJ
- NPI 1437256658
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
- 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.