Mark Chudy, DC
Individual provider Active NPI Chiropractor · Wethersfield, CT
NPI 1699831602 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699831602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 001296 (CT)
- Practice address
- 82 86 Wolcott Hill Rd
Suite 1
Wethersfield, CT 06109 - Phone
- (860) 296-4446
- Fax
- (860) 296-0041
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
88 New Britain Ave
Rocky Hill, CT 06067-5101
Phone (860) 436-5446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120214000217 | CT | Practitioner - Chiropractic | 1254598626 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chudy Chiropractic Center LLC | Chiropractor | Current |
Accepting new patients |
| Carbone Chiropractic Center LLC | Chiropractor | Past |
Accepting new patients |
Locations
88 New Britain Ave
Rocky Hill, CT 06067
Phone (860) 436-5446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001296 | CT | Yes |
Addresses
Primary practice location
82 86 Wolcott Hill Rd
Suite 1
Wethersfield, CT 06109
Mailing address
82 86 Wolcott Hill Rd
Suite 1
Wethersfield, CT 06109
Phone (860) 296-4446
Other providers in Wethersfield, CT
- Jason Lee Chertoff
- Nicole Lorraine Chimirri-Haley
- Chiroworks
- Elizabeth Cho
- Christy Lee Knowles, LCSW, LLC
- Robert Matthew Chupas
- Leah Cipollone
- Francis B Cleary
- Alanna Cofrancesco
- Nicole Colasurdo Nolan
All providers in Wethersfield, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.