Lalji S. Chudasama MD Facc PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA03264200 Issued in NJ

Legal business name

LALJI S. CHUDASAMA MD FACC PA

Practice address

1101 Raritan Rd
Clark, NJ 07066-1315

Phone

(732) 381-3055

Fax

(732) 815-9330

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lalji Chudasama, MD

Title

President

Phone

(732) 381-3055

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1700812138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661315",
            "telephone_number": "732-381-3055",
            "fax_number": "732-815-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RARITAN RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661315",
            "telephone_number": "732-381-3055",
            "fax_number": "732-815-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALJI S. CHUDASAMA MD FACC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "CHUDASAMA",
        "authorized_official_first_name": "LALJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-381-3055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA03264200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008613",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devika Krishnamoorthy, DPT
• Alison Kulick, LPC
• Sunita Kumar, PHARMD
• Irene K Labib, DPM
• Ryan J Lake, D.M.D.
• Shannon Lancellotti, L.C.S.W.
• Madelyne Latorre Magsaysay, O.D.
• Won-Chan Lee, DDS
• Clayton E Leopold, M.D.
• Brandt Mitchell Levin, MD

• Cardiovascular Disease Physician in Clark, NJ
• Providers in Clark, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.