Organization Active NPI

Eric Chludzinski, PC

Doing business as Fanwood Back Relief Center

  • Rehabilitation Chiropractor
  • Fanwood, NJ
National Provider Identifier
1730309071
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MC06002 Issued in NJ
Legal business name
ERIC CHLUDZINSKI, PC
Doing business as
Fanwood Back Relief Center
Practice address
193 Terrill Rd
Fanwood, NJ 07023-1018
Phone
(908) 288-7129
NPI assigned
Apr 27, 2007
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Dr. Eric Peter Chludzinski, DCNPI 1104894534
Title
Owner
Phone
(908) 288-7129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X MC06002 NJ Primary

Addresses

Primary practice location

193 Terrill Rd
Fanwood, NJ 07023-1018

Mailing address

193 Terrill Rd
Fanwood, NJ 07023-1018
Phone (908) 288-7129

Other names 1

  • Fanwood Back Relief Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000520 NJ Part B Supplier - Clinic/Group Practice 2769588748 Receives reassigned benefits from 1 practitioner
Practice locations: Fanwood, NJ; Flemington, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1730309071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231018",
            "telephone_number": "908-288-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 TERRILL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231018",
            "telephone_number": "908-288-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC CHLUDZINSKI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "CHLUDZINSKI",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-288-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC06002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fanwood Back Relief Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.