Amar Chudasma, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

P14821 Issued in NY

Practice address

309 Rutledge St Ste 2B
Brooklyn, NY 11211-7512

Phone

(845) 738-8770

NPI assigned

Feb 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1851857957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 63RD ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772137",
            "telephone_number": "718-458-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RUTLEDGE ST STE 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117512",
            "telephone_number": "845-738-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDASMA",
        "first_name": "AMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "P14821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Chuang
• Meleen Chuang, M.D.
• Rebecca Lauren Chubak, LMSW
• Susan Rebecca Chubak, MSSPLCCC
• Fitz D Chubb, MD
• Sofiya Chudinova, DDS
• Aleksandra Chudnovskaya, CCC-SLP
• Andrey Chudorov, FNP-BC
• Carrol Lavern Chue, RN
• Victor Chueng, D.D.S.

• General Practice Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.

Verify at the official NPI Registry.