Individual provider Active NPI

Rivka Talia Chudnoff, MS,PT

  • Physical Therapist
  • Bergenfield, NJ
National Provider Identifier
1790919249
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01262800 Issued in NJ
Practice address
100 Highgate Ter
Bergenfield, NJ 07621-3922
Phone
(732) 580-8904
NPI assigned
May 13, 2009
Last updated
May 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01262800 NJ Primary
Physical Therapist 225100000X 021129 NY

Addresses

Primary practice location

100 Highgate Ter
Bergenfield, NJ 07621-3922

Mailing address

100 Highgate Ter
Bergenfield, NJ 07621-3922
Phone (732) 580-8904

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA01262800NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1790919249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHGATE TER",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213922",
            "telephone_number": "732-580-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHGATE TER",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213922",
            "telephone_number": "732-580-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOFF",
        "first_name": "RIVKA",
        "middle_name": "TALIA",
        "name_prefix": "Ms.",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01262800",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.