MEDICARE: DR. MOHAMMAD A CHAUDHRY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA07811600	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00405000	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	425AL1	OTHER	NJ	EMPIRE BC UNION CITY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2K8676	OTHER	NJ	HEALTHNET
4	3745405	OTHER	NJ	AETNA HMO ID #
6	7072691	OTHER	NJ	AETNA PPO ID #
7	2590032	OTHER	NJ	GHI
8	P3548017	OTHER	NJ	OXFORD
9	425AL2	OTHER	NJ	EMPIRE BC ENGLEWOOD

General Provider Information

NPI Number	:	1033119573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD A CHAUDHRY M.D.

Provider Business Mailing Address
First Line	:	570 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-758-7250
Fax Number	:	201-758-7251

Provider Business Practice Location Address
First Line	:	570 32ND ST
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-2434
Country	:	US
Telephone Number	:	201-758-7250
Fax Number	:	201-758-7251

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	02/14/2022

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Directions to “ DR. MOHAMMAD A CHAUDHRY M.D.” Practice Location

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