Fredric B. Ludwin, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MB41519 Issued in NJ

Practice address

100 Townsend Ave
Berlin, NJ 08009-9011

Phone

(856) 322-3260

Fax

(856) 322-3061

NPI assigned

May 28, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  NPD
• Western Carolina Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Albemarle, NC
  • NPI 1134391758
  NPD
• Virtua Surgical Group, P.a

  • Surgery Physician
  • Cherry Hill, NJ
  • NPI 1184811945
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1629025218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TOWNSEND AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099011",
            "telephone_number": "856-322-3260",
            "fax_number": "856-322-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIN",
        "first_name": "FREDRIC",
        "middle_name": "B.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB41519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2153408",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liberty Wellness
• Russell Little, APN
• Llenroc Services, Inc
• Dedra Lombardi
• Angela Luciano-Champoux, PT
• Chelsey A Mahon, PA
• Shelby Lynn Malsbury
• Julian Mark Maressa, D.O.
• David Michael Martino Jr., LCSW
• Daniel Maurer, LPC, LCADC

• Emergency Medicine Physician in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.