ONE HUDSON MEDICAL ASSOCIATES
NPI 1205109071
Specialist in Edgewater, NJ

Active since February 09, 2012CLIA 31D2039298 · Waiver
ONE HUDSON PARK, UNIT 1829, EDGEWATER, NJ 07020(201) 941-4111(201) 941-4113 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About One Hudson Medical Associates NPPES

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

ONE HUDSON MEDICAL ASSOCIATES (NPI 1205109071) is a healthcare organization registered as a specialist in Edgewater, New Jersey and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Vishal Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1205109071
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameONE HUDSON MEDICAL ASSOCIATES
Location AddressONE HUDSON PARK, UNIT 1829Edgewater, NJ 07020-1578
Mailing AddressOne Hudson Park, Unit 1829Edgewater, NJ 07020-1578 · (201) 941-4111 · Fax (201) 941-4113
Fax(201) 941-4113
Organization SubpartNo
Authorized OfficialVishal PatelOwner · (201) 941-4111
Enumeration DateFebruary 9, 2012
Last NPPES UpdateJune 22, 2012
✔ NPI 1205109071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 207Q00000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
ONE HUDSON PARK, Edgewater, NJ 07020

Other Identifiers 1

Medicare UPINH17349NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

One Hudson Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20120409000413Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to One Hudson Medical Associates, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1659803278
1829 HUDSON PARK
Edgewater, NJ 07020
(201) 941-4111
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093781957
244 LIVINGSTON ST
Northvale, NJ 07647
(201) 768-1200
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2039298

One Hudson Medical Associates · Edgewater, NJ
Active · expires Apr 4, 2028
CLIA Number31D2039298
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVishal V. Patel
Laboratory Phone(201) 768-1200
Laboratory LocationOne Hudson Medical Associates1829 Hudson Park, Edgewater, NJ 07020
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 One Hudson Medical Associates's NPI number?

The NPI number for One Hudson Medical Associates is 1205109071. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is One Hudson Medical Associates located?

One Hudson Medical Associates is located at One Hudson Park Unit 1829, Edgewater, NJ 07020. The listed phone number is (201) 941-4111.

What is One Hudson Medical Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is One Hudson Medical Associates enrolled in Medicare?

Yes. One Hudson Medical Associates is registered in the Medicare PECOS enrollment system.

When is One Hudson Medical Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through One Hudson Medical Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to One Hudson Medical Associates, in Family Practice and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does One Hudson Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2039298) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for One Hudson Medical Associates was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.