Active NPI
Stephen P Chudkowski, D.C.
- Chiropractor
- South Amboy, NJ
National Provider Identifier
1760538680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00421900
- Practice address
- 960 US Highway 9
Sayreville Plaza
South Amboy, NJ 08879-3310 - Phone
- (732) 727-0690
- Fax
- (732) 727-5567
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00421900 | NJ | Primary |
Addresses
Primary practice location
960 US Highway 9
Sayreville Plaza
South Amboy, NJ 08879-3310
Mailing address
960 Route 9 South
South Amboy, NJ 08879
Phone (732) 727-0690
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00421900 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260748800000",
"number": "1760538680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 ROUTE 9 SOUTH",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "08879",
"telephone_number": "732-727-0690",
"fax_number": "732-727-5567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 US HIGHWAY 9",
"address_2": "SAYREVILLE PLAZA",
"city": "SOUTH AMBOY",
"state": "NJ",
"postal_code": "088793310",
"telephone_number": "732-727-0690",
"fax_number": "732-727-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUDKOWSKI",
"first_name": "STEPHEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2009-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00421900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.