NPIMap

Individual provider Active NPI

Jay Chudow, M.D.

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1669828075
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
314267-01 Issued in NY
Practice address
20 Cedar St FL 2
New Rochelle, NY 10801-5247
Phone
(914) 633-7870
NPI assigned
May 5, 2016
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 314267-01 NY Primary

Addresses

Primary practice location

20 Cedar St FL 2
New Rochelle, NY 10801-5247

Mailing address

20 Cedar St FL 2
New Rochelle, NY 10801-5247
Phone (914) 633-7870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728001117 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517349285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
314267-01NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Cardiovascular Disease CurrentSince May 13, 2022 Accepting new patients
Montefiore Medical Center CurrentSince May 13, 2022 Accepting new patients
Montefiore New Rochelle Hospital CurrentSince Sep 8, 2024 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

111 E 210th St
Fl 2
Bronx, NY 10467
Phone (718) 920-5333

555 Taxter Rd
Elmsford, NY 10523
Phone (718) 920-2587

555 Taxter Rd
Fl 2
Elmsford, NY 10523
Phone (718) 304-7165

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

20 Cedar St
New Rochelle, NY 10801
Phone (914) 576-5292

20 Cedar St
Fl 2
New Rochelle, NY 10801
Phone (914) 235-3535

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jchudow@montefioredirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1669828075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST FL 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015247",
            "telephone_number": "914-633-7870",
            "fax_number": "914-633-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST FL 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015247",
            "telephone_number": "914-633-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDOW",
        "first_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "314267-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.