CHARLES K. DADZIE (MD) – Pediatric Pulmonology Physician, NPI 1104882109

CHARLES K. DADZIE (MD) is a healthcare provider. based in Neptune, New Jersey. specializing in Pediatric Pulmonology Physician. They hold the professional credentials MD. They hold a License No. 25MA03895500 (NJ). The NPI Number for CHARLES K. DADZIE (MD) is 1104882109

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES K. DADZIE (MD)
NPI
1104882109
Phone
(732) 776-4268
Address
19 DAVIS AVE FL 5
Enumeration Date
26 April 2006
Last Update Date
12 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327764271
Graduation Year
1975 (51 years ago)
PAC ID
4082679568
Group Practice PAC ID
0446272298
Professional Enrollment ID
I20041203000057
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for CHARLES K. DADZIE (MD)

  • Davis Avenue, West Grove, Neptune, Neptune Township, Monmouth County, New Jersey, 07753, United States

    NEPTUNE, NJ 077534488

    Phone: (732) 776-4268

    Fax: (732) 776-3178

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: Baxter Healthcare ($24).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041203000057ICritical Care (Intensivists)NJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07753)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446272298View full group profile

Reviews

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Frequently asked questions

Is there an official ID for CHARLES K. DADZIE (MD) in U.S. healthcare records?
The official identifier for CHARLES K. DADZIE (MD) is NPI 1104882109.
Is CHARLES K. DADZIE (MD) shown as active in public data?
Registry records indicate CHARLES K. DADZIE (MD) maintains an active NPI.
How would a patient describe CHARLES K. DADZIE (MD)'s focus?
For CHARLES K. DADZIE (MD), the primary taxonomy reads as Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
Where in New Jersey is CHARLES K. DADZIE (MD) registered?
Use Neptune, New Jersey as the headline location for CHARLES K. DADZIE (MD) here.
Can I trust this NPI listing for CHARLES K. DADZIE (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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