Organization Active NPI

M. Azhar Chaudhry M.D. Inc.

  • Specialist
  • East Stroudsburg, PA
National Provider Identifier
1760527790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD017440E Issued in PA
Legal business name
M. AZHAR CHAUDHRY M.D. INC.
Practice address
228 Independence Road
East Stroudsburg, PA 18301-9435
Phone
(570) 420-9244
Fax
(570) 420-9244
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohammad Azhar Chaudhry, M.D.NPI 1093792459
Title
President
Phone
(570) 420-9227

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD017440E PA Primary

Addresses

Primary practice location

228 Independence Road
East Stroudsburg, PA 18301-9435

Mailing address

228 Independence
East Stroudsburg, PA 18301-9435
Phone (570) 420-9227

Other identifiers 5

IdentifierTypeStateIssuer
000000139970OtherPAMED PLUS
7356405OtherPAAETNA
0016576140003MedicaidPA
CHI1457706OtherPABLUE CROSS
2593208OtherPAGHI

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760527790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 INDEPENDENCE",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019435",
            "telephone_number": "570-420-9227",
            "fax_number": "570-420-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 INDEPENDENCE ROAD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019435",
            "telephone_number": "570-420-9244",
            "fax_number": "570-420-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. AZHAR CHAUDHRY M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AZHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-420-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD017440E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "000000139970",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7356405",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016576140003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CHI1457706",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2593208",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.