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JESSICA LUDOLPH
NPI 1164050811
Pediatrics in Raritan, NJ

Active since March 30, 2020PECOS Enrolled
575 ROUTE 28 STE 2205, SUITE 2100, RARITAN, NJ 08869(908) 725-5530 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Ludolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LUDOLPH (NPI 1164050811) is an individual pediatrics provider in Raritan, New Jersey, licensed in New Jersey (25MA11959700) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164050811
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA LUDOLPH
Location Address575 ROUTE 28 STE 2205, SUITE 2100Raritan, NJ 08869-1363
Mailing Address575 Route 28 Ste 2205Raritan, NJ 08869-1363 · (908) 725-5530
Phone(908) 725-5530
Sole ProprietorYes
Enumeration DateMarch 30, 2020
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1164050811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NJ · 25MA11959700
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
575 ROUTE 28 STE 2205, Raritan, NJ 08869
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ludolph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08869 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YU-YUN HUANG
Pediatrics
575 ROUTE 28 STE 2205
RARITAN, NJ 08869
Somerset County (908) 725-5530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ludolph's NPI number?

The NPI number for Jessica Ludolph is 1164050811. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Jessica Ludolph located?

Jessica Ludolph practices at 575 Route 28 Ste 2205 Suite 2100, Raritan, NJ 08869. The listed phone number is (908) 725-5530.

What is Jessica Ludolph's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Ludolph enrolled in Medicare?

Yes. Jessica Ludolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Ludolph was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.