Ludmila Chumak, PA-C
Individual provider Active NPI Family Medicine Physician · Buena, NJ
NPI 1891867248 · NPPES record last updated Apr 7, 2023
Key facts
- NPI
- 1891867248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25MP0038600 (NJ)
- Practice address
- 761 South Harding Hwy
Buena, NJ 08310 - Phone
- (856) 697-0111
- Fax
- (856) 697-0003
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inspira Health Network Medical Group PC
Practice addresses (Care Compare)
761 S Harding Hwy
Buena, NJ 08310-9732
Phone (856) 697-0111
798 Centerton Rd
Pittsgrove, NJ 08318-3945
Phone (856) 358-6161
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Bayada at Inspira, Home Health and Hospice
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609000166 | NJ | Practitioner - Physician Assistant | 8527358233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP0038600 | NJ | MD | Family Medicine Physician |
| 10004552 | WA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10004552 | WA | |
| Family Medicine Physician | 207Q00000X | 25MP0038600 | NJ | Yes |
Addresses
Primary practice location
761 South Harding Hwy
Buena, NJ 08310
Mailing address
761 S Harding Hwy
Buena, NJ 08310-9732
Phone (856) 697-0111
Other providers in Buena, NJ
- Advoserv of New Jersey, Inc.
- Bloom Mental Health
- Matthew Caverow
- Laura Cintron
- Anael Destin Delice Jr.
- Roger Duckett
- Heart to Heart Health Care Services, LLC
- Merakey New Jersey
All providers in Buena, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.