Individual provider Active NPI

Allen L Chodock, MD

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1811928138
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
092732 Issued in NY
Practice address
124 Ritch Ave W # Aptb304
Greenwich, CT 06830-6956
Phone
(203) 681-2610
Fax
(203) 532-5712
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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 092732 NY Primary

Addresses

Primary practice location

124 Ritch Ave W # Aptb304
Greenwich, CT 06830-6956

Mailing address

124 Ritch Ave W # Aptb304
Greenwich, CT 06830-6956
Phone (203) 681-2610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100330000868 NY Practitioner - Internal MedicinePractitioner - Rheumatology 8325018013 Practice locations: Mamaroneck, NY

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1811928138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RITCH AVE W # APTB304",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306956",
            "telephone_number": "203-681-2610",
            "fax_number": "203-532-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RITCH AVE W # APTB304",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306956",
            "telephone_number": "203-681-2610",
            "fax_number": "203-532-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODOCK",
        "first_name": "ALLEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "092732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

Verify at the official NPI Registry.