Active NPI
Ivan Paul Chudnow, M.D.
- Obstetrics & Gynecology Physician
- Fort Lauderdale, FL
National Provider Identifier
1750509808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME 19425
- Practice address
- 505 SW 7TH Ave
Fort Lauderdale, FL 33315-1041 - Phone
- (954) 760-9245
- Fax
- (954) 760-9313
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME 19425 | FL | Primary |
Addresses
Primary practice location
505 SW 7TH Ave
Fort Lauderdale, FL 33315-1041
Mailing address
505 SW 7TH Ave
Fort Lauderdale, FL 33315-1041
Phone (954) 760-9245
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD 009390 E | Other | PA | STATE LICENSE |
| ME 19425 | Other | FL | STATE LICENSE |
| GFE22093 | Other | CA | STATE LICENSE |
| AC5131800 | Other | BNDD |
Other names 1
- I. Paul Chudnow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19425 | FL | MD | General Practice Dentistry |
| ME 19425 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750509808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 SW 7TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333151041",
"telephone_number": "954-760-9245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SW 7TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333151041",
"telephone_number": "954-760-9245",
"fax_number": "954-760-9313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDNOW",
"first_name": "IVAN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME 19425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MD 009390 E",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME 19425",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "GFE22093",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "AC5131800",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "I.",
"last_name": "CHUDNOW",
"middle_name": "PAUL",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.