Individual provider Active NPI

Jerome F.X. Naradzay, MD

  • Emergency Medicine Physician
  • Henderson, NC
National Provider Identifier
1841249331
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10967 Issued in NV
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

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060717000181 NC Practitioner - Emergency Medicine 9436118726 Reassigns benefits to 1 organization
I20180622000747 MD Practitioner - Emergency Medicine 9436118726 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10967NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Hospital Center Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Chester River Hospital Center Current Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Cfvhs Ed Physicians Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Chester River Health Center CurrentSince Jun 1, 2018 Accepting new patients
North Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.