Active NPI
Alexander Basil Kudryk, M.D.
- Internal Medicine Physician
- Bridgewater, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05346900
- Practice address
- 215 Union Ave
Suite E
Bridgewater, NJ 08807-3063 - Phone
- (908) 685-1818
- Fax
- (908) 685-8225
- NPI assigned
- Jul 5, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05346900 | NJ | Primary |
Addresses
Primary practice location
215 Union Ave
Suite E
Bridgewater, NJ 08807-3063
Mailing address
PO Box 416457
Boston, MA 02241-6457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040426001107 | NJ | Practitioner - Internal Medicine | 7911994744 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practice Associates Medical Group | Internal Medicine | Current | Accepting new patients |
| Robert Wood Johnson Medical Associates | Current | Accepting new patients | |
| Atlantic Urgent Care, LLC | Current | Accepting new patients | |
| William R. Collini, M.D., P.a. | Past | Accepting new patients | |
| Paul D. Kaplan,D.M.D.,P.a. | Past | Accepting new patients | |
| Dr Milia &Magdy Ghaly MD PA | Internal Medicine | Past | Accepting new patients |
| 216 Finderne Dental P.a. | Past | Accepting new patients |
Locations
215 Union Ave
Ste E
Bridgewater, NJ 08807
Phone (908) 685-0556
100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
181 High St
Newton, NJ 07860
Phone (973) 383-9898
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
Interoperability endpoints
- akudryk42441@epicdirect.rwjbh.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Internal Medicine, NJ
-
- Dentist
- Bridgewater, NJ
- NPI 1497423966
-
- Internal Medicine Physician
- Manville, NJ
- NPI 1629189519
Internal Medicine
-
- General Practice Dentistry
- Bridgewater, NJ
- NPI 1619075777
-
- Specialist
- Newton, NJ
- NPI 1144426602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1912938671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416457",
"city": "BOSTON",
"state": "MA",
"postal_code": "022416457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 UNION AVE",
"address_2": "SUITE E",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088073063",
"telephone_number": "908-685-1818",
"fax_number": "908-685-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDRYK",
"first_name": "ALEXANDER",
"middle_name": "BASIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05346900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.