Sadia R Chaudry MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA058625 Issued in NJ

Legal business name

SADIA R CHAUDRY MD LLC

Practice address

41-04 Goldblatt Ter
Fair Lawn, NJ 07410-5911

Phone

(201) 797-7129

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sadia R Chaudry, MD

Title

Owner

Phone

(201) 797-7129

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902003346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDING WAY",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091426",
            "telephone_number": "201-797-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-04 GOLDBLATT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105911",
            "telephone_number": "201-797-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADIA R CHAUDRY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDRY",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-797-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA058625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.