Active NPI
Jerome F.X. Naradzay, MD
- Emergency Medicine Physician
- Henderson, NC
National Provider Identifier
1841249331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10967
- Practice address
- 236 Pine Meadow TRL
Henderson, NC 27537-7181 - Phone
- (252) 438-8633
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10967 | NV | Primary |
Addresses
Primary practice location
236 Pine Meadow TRL
Henderson, NC 27537-7181
Mailing address
236 Pine Meadow TRL
Henderson, NC 27537-7181
Phone (252) 438-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10967 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chester River Hospital Center | Emergency Medicine | Current | Accepting new patients |
| Chester River Hospital Center | Current | Accepting new patients | |
| Cfvhs Ed Physicians | Emergency Medicine | Current | Accepting new patients |
| Cfvhs Ed Physicians | Emergency Medicine | Current | Accepting new patients |
| Chester River Health Center | Current | Accepting new patients | |
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers Inc | Emergency Medicine | Past | Accepting new patients |
| Twin Valley Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Henderson Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| North Carolina Em I Medical Services P C | Past | Accepting new patients | |
| North Country Emergency Medical Consultants,PC | Emergency Medicine | Past | Accepting new patients |
Locations
100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300
219 S Washington St
Easton, MD 21601
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Fayetteville, NC
- NPI 1215931589
-
- General Acute Care Hospital
- Chestertown, MD
- NPI 1679536809
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1790183184
-
- Clinic/Center
- Chestertown, MD
- NPI 1114290293
-
- Emergency Medicine Physician
- Chestertown, MD
- NPI 1053491795
-
- Emergency Medicine Physician
- Henderson, NC
- NPI 1841295904
-
- Physician Assistant
- Elizabeth City, NC
- NPI 1255581443
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1558310797
-
- Emergency Medicine Physician
- Watertown, NY
- NPI 1972572295
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1467401604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1841249331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 PINE MEADOW TRL",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275377181",
"telephone_number": "252-438-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 PINE MEADOW TRL",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275377181",
"telephone_number": "252-438-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARADZAY",
"first_name": "JEROME",
"middle_name": "F.X.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "10967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.