Peter Chudolij, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00716100 Issued in NJ

Practice address

485 US 1
Iselin, NJ 08830

Phone

(732) 750-0400

NPI assigned

Aug 31, 2022

Last updated

Aug 31, 2022By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parsippany Eyecare Associates PAGroup PAC ID 5193807808, 12 clinicians

Focus Eye Care PCGroup PAC ID 2860799061, 2 clinicians

Eyecare Specialties Support of NJ PCGroup PAC ID 6800309287, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Eyecare Specialties Support of NJ PC

  • Optometrist
  • Blackwood, NJ
  • NPI 1003601287
  Medicare reassignment Care Compare group NPD
• Focus Eye Care PC

  • Point of Service
  • Hackensack, NJ
  • NPI 1255793329
  Medicare reassignment Care Compare group NPD
• Parsippany Eyecare Associates PA

  dba EyeCare 20/20

  • Ophthalmology Physician
  • East Hanover, NJ
  • NPI 1629061825
  Medicare reassignment Care Compare group
• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD (past)
• Omni Eye Specialists P a

  dba Omni Eye Services

  • Ophthalmology Physician
  • Iselin, NJ
  • NPI 1376593863
  NPD (past)
• Renal Medicine Associates, PA

  • Nephrology Physician
  • Teaneck, NJ
  • NPI 1679529945
  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1639899438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 US 1",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "201-368-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 US 1",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-750-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Prospect Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070524197",
            "country_code": "US",
            "telephone_number": "973-325-6734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 NJ-10",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "07054",
            "country_code": "US",
            "telephone_number": "973-538-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 W Passaic St.",
            "address_purpose": "LOCATION",
            "city": "Rochelle Park",
            "state": "NJ",
            "postal_code": "07662",
            "country_code": "US",
            "telephone_number": "201-368-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDOLIJ",
        "first_name": "PETER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00716100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Jersey Necular Cardiology
• Frida Chhabria
• Alexander Chiu, MD
• Christa Brown LLC
• Maria Christoudias, RD
• Joann Colbert, P.A.-C
• Comgrace LLC
• Carly Dana Crapanzano, O.D.
• Giovanna Creighton
• Charles Lawrence Dashel, D.D.S.

• Optometrist in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.