Individual provider Active NPI

Ludmila Ridlovsky, M.D.

  • Internal Medicine Physician
  • Morganville, NJ
National Provider Identifier
1780878181
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25M08292400 Issued in NJ
Practice address
186 County Road 520 Ste 1
Morganville, NJ 07751-1246
Phone
(732) 851-4955
Fax
(509) 362-9699
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25M08292400 NJ Primary

Addresses

Primary practice location

186 County Road 520 Ste 1
Morganville, NJ 07751-1246

Mailing address

186 County Road 520 Ste 1
Morganville, NJ 07751-1246
Phone (732) 851-4955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000340 NJ Practitioner - Internal Medicine 6901962992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

225 Gordons Corner Rd
Suite 1H
Manalapan, NJ 07726-3342
Phone (732) 447-3286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25M08292400NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medicine PC CurrentSince Jan 23, 2009 Accepting new patients
Sadon Chiropractic & Rehabilitation Center PC Current Accepting new patients

Locations

225 Gordons Corner Rd
Ste 1H
Manalapan, NJ 07726
Phone (732) 851-4955

21 Kilmer Dr
Ste A
Morganville, NJ 07751
Phone (732) 617-0033

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBAIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBAIAA/Endpoint/IBAIAA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1780878181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 COUNTY ROAD 520 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511246",
            "telephone_number": "732-851-4955",
            "fax_number": "732-851-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 COUNTY ROAD 520 STE 1",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511246",
            "telephone_number": "732-851-4955",
            "fax_number": "509-362-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDLOVSKY",
        "first_name": "LUDMILA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25M08292400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

Verify at the official NPI Registry.