Individual provider Active NPI

Shelly L Ludwig, M.D.

  • Specialist
  • Freehold, NJ
National Provider Identifier
1801860937
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03617300 Issued in NJ
Practice address
800 W Main St Ste 111
Freehold, NJ 07728-2555
Phone
(328) 008-9507
Fax
(732) 800-8951
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA03617300 NJ Primary

Addresses

Primary practice location

800 W Main St Ste 111
Freehold, NJ 07728-2555

Mailing address

800 W Main St Ste 111
Freehold, NJ 07728-2555
Phone (732) 800-8950

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03617300NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Gastroenterology Associates PA Specialist CurrentSince Mar 1, 2013 Accepting new patients

Locations

535 Iron Bridge Rd
Ste 12
Freehold, NJ 07728
Phone (732) 567-0834

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1801860937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 111",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282555",
            "telephone_number": "732-800-8950",
            "fax_number": "732-800-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 111",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282555",
            "telephone_number": "328-008-9507",
            "fax_number": "732-800-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "SHELLY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03617300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.