NPIMap

Individual provider Active NPI

Jeanmarie Chudzik, D.O.

  • Internal Medicine Physician
  • Hazlet, NJ
National Provider Identifier
1679772495
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08411900 Issued in NJ
Practice address
31 Village CT
Hazlet, NJ 07730-1533
Phone
(732) 264-1212
Fax
(732) 888-5452
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB08411900 NJ Primary

Addresses

Primary practice location

31 Village CT
Hazlet, NJ 07730-1533

Mailing address

31 Village CT
Hazlet, NJ 07730-1533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120110000668 NJ Practitioner - Internal Medicine 8123294394 Reassigns benefits to 1 organization
Practice locations: Hazlet, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Village Court
Hazlet, NJ 07730-1533

31 Village CT
Hazlet, NJ 07730-1533
Phone (732) 264-1212

Hospital & facility affiliations

  • Hackensack Meridian at Home Monmouth County Home health agency, Neptune, NJ, CCN 317084
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Hackensack Meridian Hospice Hospice, Neptune, NJ, CCN 311533
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08411900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HMH Hospitals Corporation 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 and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1679772495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301533",
            "telephone_number": "732-264-1212",
            "fax_number": "732-888-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDZIK",
        "first_name": "JEANMARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08411900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlet, NJ

Sources for this page

Verify at the official NPI Registry.