DR. RICHARD MARTIN CHUDACOFF (NPI# 1740275064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740275064 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MARTIN CHUDACOFF |
| Credential | MD |
| Practice Address |
101 2nd St Lakewood NJ 08701-3324 |
| Mailing Address |
201-211 W Jersey St Apt 206 Elizabeth NJ 07202-1384 |
| Practice Telephone | 8069342983 |
| Practice Fax Number | 8069342984 |
| Mailing Telephone | 7024818808 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 0101266257 | VA | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 25MA10635300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | G70841 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | K5869 | TX | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
12108 | NV | Allopathic & Osteopathic Physicians |
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
ME114379 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 11340275064 | 05 |
| Street Address |
101 2ND ST |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
| 1770125122 | Arielle Cheifetz | Advanced Practice Midwife | 101 2nd St, Lakewood, NJ 08701-3324 | 2019-10-16 |
| 1114494598 | Melissa Mutter | Social Worker | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-10-24 |
| 1750868931 | Taijoon Park | Dentist | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-07-20 |
| 1942792320 | Katherine Anne Welter | Advanced Practice Midwife | 101 2nd St, Lakewood, NJ 08701-3324 | 2018-06-01 |
| 1609382670 | Andrew Clark | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-28 |
| 1558877746 | Angela Jean Romero | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-26 |
| 1467968396 | Tina Wismar | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-12-14 |
| 1922512946 | Kendie Castillo | Nurse Practitioner | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-11-29 |
| 1811410277 | Robert Hildebrandt | Dietitian, Registered | 101 2nd St, Lakewood, NJ 08701-3324 | 2017-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376937839 | Jonathan Seibert | Obstetrics & Gynecology | 1450 Belle Ave Unit 300, Lakewood, OH 44107-4211 | 2015-03-23 |
| 1982001434 | Lakewood Obstetrics & Gynecology Pa | Obstetrics & Gynecology | 1382 Lanes Mill Rd Ste 201, Lakewood, NJ 08701 | 2014-11-28 |
| 1689975690 | Migdalia Zoe Bonilla Martir | Obstetrics & Gynecology | 101 Secon Street, Lakewood, NJ 08701-3324 | 2010-11-08 |
| 1871635227 | Douglas Haigh Kirkpatrick | Obstetrics & Gynecology | 255 Union Blvd Suite 200, Lakewood, CO 80228-1810 | 2007-02-13 |
| 1790831311 | Kelle Oberle | Obstetrics & Gynecology | 255 Union Blvd Ste 200, Lakewood, CO 80228-1833 | 2007-01-26 |
| 1871667097 | Flavius Thompson | Obstetrics & Gynecology | 149 Bristol Ct, Lakewood, NJ 08701-4635 | 2006-11-20 |
| 1548286016 | Miriam Mackovic-basic | Obstetrics & Gynecology | 3650 South St Ste 403, Lakewood, CA 90712-1504 | 2006-07-15 |
| 1619902046 | Adam N Repole | Obstetrics & Gynecology | 475 Route # 70, Suite 101, Lakewood, NJ 08701 | 2006-07-12 |
| 1871538520 | Vaishali C. Moghe | Obstetrics & Gynecology | 101 Second Street, Lakewood, NJ 08701-3324 | 2006-06-17 |
| 1417991399 | Jacob F. Palomaki | Obstetrics & Gynecology | 13956 Estill Drive, Lakewood, OH 44107-1455 | 2006-06-15 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.