Mansoora Chaudry MD PC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

MA03418 Issued in NJ

Legal business name

MANSOORA CHAUDRY MD PC

Practice address

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

Phone

(201) 797-7129

NPI assigned

May 22, 2006

Last updated

Jun 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mansoora Chaudry, MD

Title

Owner

Phone

(201) 797-7129

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1609821560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-04 GOLDBLATT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105911",
            "telephone_number": "201-797-7129"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOORA CHAUDRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CHAUDRY",
        "authorized_official_first_name": "MANSOORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-797-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "MA03418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5277809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melyssa Mera Mandelbaum
• Sarah N Stiefel Mandelbaum, PHD, LCSW
• Jessica Maneri, PSY. M.
• Rajapriya Manickam, MD
• Maybelle Maningat, DPM
• Marguerite Mansueto
• Maple Avenue Pediatrics
• Aida Margolin, MD
• Rebekah Marino, PT, DPT, ATC
• Mark Reyn MD PC

• Anatomic Pathology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Anatomic Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.