Active NPI
Edward J Kudej, D.C.
- Physical Therapist
- Milford, CT
National Provider Identifier
1548216153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002136
- Practice address
- 555 Boston Post Rd
Milford, CT 06460-2635 - Phone
- (203) 878-8803
- Fax
- (203) 874-3945
- NPI assigned
- May 25, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 00764 | CT | |
| Physical Therapist | 225100000X | 002136 | CT | Primary |
Addresses
Primary practice location
555 Boston Post Rd
Milford, CT 06460-2635
Mailing address
555 Boston Post Rd
Milford, CT 06460-2635
Phone (203) 878-8803
Other names 1
- Edward J Kudej
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002136 | CT | MD | Clinical Psychologist |
| 00764 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Back& Neck Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Hartford, CT
- NPI 1134297732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1548216153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602635",
"telephone_number": "203-878-8803",
"fax_number": "203-874-3945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602635",
"telephone_number": "203-878-8803",
"fax_number": "203-874-3945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDEJ",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "00764",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDWARD",
"last_name": "KUDEJ",
"middle_name": "J",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.