Individual provider Active NPI

Alexander Basil Kudryk, M.D.

  • Internal Medicine Physician
  • Bridgewater, NJ
National Provider Identifier
1912938671
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05346900 Issued in NJ
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

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Practice Associates Medical Group Internal Medicine CurrentSince Aug 17, 2013 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jun 1, 2015 Accepting new patients
Atlantic Urgent Care, LLC CurrentSince Dec 1, 2020 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. PastSince Sep 5, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.