Provider Demographics
NPI:1619054137
Name:AMAN, CHAUDHRY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAUDHRY
Middle Name:
Last Name:AMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3148 KENNEDY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3524
Mailing Address - Country:US
Mailing Address - Phone:201-217-3222
Mailing Address - Fax:201-918-6499
Practice Address - Street 1:216 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1104
Practice Address - Country:US
Practice Address - Phone:201-217-3222
Practice Address - Fax:210-653-1824
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05977200207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ559810Medicare ID - Type Unspecified
NJ559810YCCMMedicare PIN
NJF93771Medicare UPIN