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DR. CHASE KENNETH HUDAK MD
NPI 1669111928
Student in an Organized Health Care Education/Training Program in Elizabeth, NJ

Active since June 03, 2022PECOS Enrolled
655 E JERSEY ST, ELIZABETH, NJ 07206(330) 760-5089 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chase Kenneth Hudak Md NPPES

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

DR. CHASE KENNETH HUDAK MD (NPI 1669111928) is an individual student in an organized health care education/training program in Elizabeth, New Jersey and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669111928
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. CHASE KENNETH HUDAKCredential: MD
Location Address655 E JERSEY STElizabeth, NJ 07206-1259
Mailing Address3037 Kingston CirSilver Lake, OH 44224-3113 · (330) 760-5089
Phone(330) 760-5089
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1669111928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 E JERSEY ST, Elizabeth, NJ 07206
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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)

Dr. Chase Kenneth Hudak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264924026
PECOS Enrollment IDI20251120000246
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.

Other Providers at the Same Location NPPES 20

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

RACHEL BERGER LSW
Social Worker (Clinical)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7224
YARY L MARTINEZ MD
Psychiatry & Neurology (Psychiatry)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7207
ZANETA L. PERSON LCSW
Social Worker (Clinical)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7032
TRISHA BADISHIAN LCSW
Social Worker (Clinical)
655 E JERSEY ST, DEPT. OF BEHAVIORAL HEALTH & PSYCHIATRY
ELIZABETH, NJ 07206
Union County (908) 994-5000
DR. STEPHEN JOHN HARAN PSY.D.
Psychologist (Forensic)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-7137
ERONMWON OKOYE MD
Psychiatry & Neurology (Psychiatry)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (856) 885-1297
ANWAR GHALI MD
Psychiatry & Neurology (Psychiatry)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-5000
ALLISON BRITTON LCSW
Social Worker (Clinical)
655 E JERSEY ST
ELIZABETH, NJ 07206
Union County (908) 994-5000

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 Chase Hudak's NPI number?

The NPI number for Chase Hudak is 1669111928. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Chase Hudak located?

Chase Hudak practices at 655 E Jersey St, Elizabeth, NJ 07206. The listed phone number is (330) 760-5089.

What is Chase Hudak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chase Hudak enrolled in Medicare?

Yes. Chase Hudak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chase Hudak was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.