Healthcare Provider Details

I. General information

NPI: 1518732999
Provider Name (Legal Business Name): CARDIOPULMONARY DIAGNOSTICS & REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2023
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEADOWLANDS PKWY
SECAUCUS NJ
07094-2944
US

IV. Provider business mailing address

20 MEADOWLANDS PKWY
SECAUCUS NJ
07094-2944
US

V. Phone/Fax

Practice location:
  • Phone: 201-381-4800
  • Fax: 201-552-2918
Mailing address:
  • Phone: 201-381-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: SAIFULLA KHALED CHAUDHARY
Title or Position: CEO
Credential:
Phone: 973-262-2909