Jessica Ludolph, in Raritan, NJ - Medicare Pediatrics

Jessica Ludolph, is a medicare enrolled "Pediatrics" physician in Raritan, New Jersey. Her current practice location is 575 Route 28 Ste 2205, Suite 2100, Raritan, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 725-5530.

Jessica Ludolph is licensed to practice in New Jersey (license number 25MA11959700) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164050811.

Contact Information

	Jessica Ludolph,
	575 Route 28 Ste 2205, Suite 2100, Raritan, NJ 08869-1363
	(908) 725-5530
	Not Available

Map and Direction

Physician's Profile

Full Name	Jessica Ludolph
Gender	Female
Speciality	Pediatrics
Location	575 Route 28 Ste 2205, Raritan, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164050811
Provider Enumeration Date: 03/30/2020
Last Update Date: 02/27/2026

Medicare PECOS Information:

PECOS PAC ID: 9436595592
Enrollment ID: I20240311004058

Medical Identifiers

Medical identifiers for Jessica Ludolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164050811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA11959700 (New Jersey)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Ludolph allows following entities to bill medicare on her behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Ludolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Ludolph, 575 Route 28 Ste 2205, Raritan, NJ 08869-1363 Ph: (908) 725-5530	Jessica Ludolph, 575 Route 28 Ste 2205, Suite 2100, Raritan, NJ 08869-1363 Ph: (908) 725-5530

Reviews and Comments

Pediatrics Doctors in Raritan, NJ

Dr. Craig L Tendler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Route 202, Raritan, NJ 08869 Phone: 908-927-4772
Parul Niranjan Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28, Building 2, Suite 2100, Raritan, NJ 08869 Phone: 908-725-1802 Fax: 908-203-8825
Yu-yun Huang, Pediatrics Medicare: Medicare Enrolled Practice Location: 575 Route 28 Ste 2205, Raritan, NJ 08869 Phone: 908-725-5530 Fax: 908-253-6559
Lisa Thottumari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28, Raritan, NJ 08869 Phone: 908-725-1802 Fax: 908-203-8825
Dr. Robyn Monet Dennis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Us Highway 202, Raritan, NJ 08869 Phone: 614-722-4950
Arlene Michelle Goodman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 575 Route 28 Ste 2100, Raritan, NJ 08869 Phone: 908-725-5530 Fax: 908-253-6559

Jessica Ludolph, - Medicare Pediatrics in Raritan, NJ