Samia R. Chaudry DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08847900 Issued in NJ

Legal business name

SAMIA R. CHAUDRY DO LLC

Practice address

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

Phone

(201) 797-7129

Fax

(201) 703-6982

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Samia Chaudry, D.O.NPI 1366604605

Title

Doctor

Phone

(201) 797-7129

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samia Riaz Chaudry, D.O.

  • Family Medicine Physician
  • Fair Lawn, NJ
  • NPI 1366604605
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1922380856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-04 GOLDBLATT TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105911",
            "telephone_number": "201-797-7129",
            "fax_number": "201-703-6982"
        },
        {
            "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",
            "fax_number": "201-703-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIA R. CHAUDRY DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "CHAUDRY",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "201-797-7129",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08847900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Same Day Surgery Center of New Jersey
• Jordan Brown Sander, LCSW
• Milony Sanghvi, OD
• Irina Santa
• Sara Santacruz, BCBA
• Jennifer Santos, LSW

• 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 Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.