Provider profile

Claudia BerdugoDO

Internal Medicine

NPI 1841285780
205 Summer Ave, Newark, NJ 07104973-484-2800

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Medicare Advantage plans for Essex County, NJ.

Checked Nov 4, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 30 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Claudia on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 45 Medicare Advantage plans we show for Essex County, NJ in 2027

  • 30 list Claudia
  • 14 not listed
  • 1 not checked yet

UnitedHealthcare

10 plans list Claudia; not listed on 1 other plan.

10plans
  • AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-038-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-046-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH0755-037-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-059-000Medicare.gov
    $0a month

Aetna Medicare

6 plans list Claudia; not listed on 1 other plan.

6plans
  • Aetna Medicare Eagle Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3152-045-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-504-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3152-098-000Medicare.gov
    $25a month
  • Aetna Medicare Enhanced Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-037-000Medicare.gov
    $99a month

Clover Health

6 plans list Claudia.

6plans
  • Clover Health Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 205 Summer Ave, Newark, NJ, 07104
    • 654 Mount Prospect Ave, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-004-000Medicare.gov
    $0a month
  • Clover Health Choice Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 205 Summer Ave, Newark, NJ, 07104
    • 654 Mount Prospect Ave, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage5 starsH5141-054-000Medicare.gov
    $0a month
  • Clover Health Classic (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 205 Summer Ave, Newark, NJ, 07104
    • 654 Mount Prospect Ave, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH8010-002-000Medicare.gov
    $0a month
  • Clover Health Valor (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 205 Summer Ave, Newark, NJ, 07104
    • 654 Mount Prospect Ave, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage5 starsH5141-061-000Medicare.gov
    $0a month

Humana

5 plans list Claudia; not listed on 2 other plans.

5plans
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-174-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-319 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-319-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-045 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-045-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-127 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-127-000Medicare.gov
    $0a month

Wellcare

3 plans list Claudia.

3plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-015-000Medicare.gov
    $0a month
  • Wellcare Low Premium (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-002-000Medicare.gov
    $35a month
  • Wellcare Fidelis Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 654 Mount Prospect Ave, Ste 202, Newark, NJ, 07104

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0913-013-000Medicare.gov
    $28.40a month

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Horizon Blue Cross Blue Shield of New Jersey

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Horizon Blue Cross Blue Shield of New Jersey plan hasn't been checked yet.

Wellpoint

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Claudia takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

205 Summer Ave
Newark, NJ 07104

NPI Registry
NPI issued
2005
Registry record updated
Aug 16, 2013

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Claudia Berdugo?

In Essex County, NJ, 30 Medicare Advantage plans for 2027 list Claudia in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS), AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS) and AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Claudia Berdugo take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Claudia on 10 Medicare Advantage plans for 2027 in Essex County, NJ, including AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) and AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Claudia Berdugo take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Claudia on 6 Medicare Advantage plans for 2027 in Essex County, NJ, including Aetna Medicare Eagle Giveback (HMO) and Aetna Medicare Eagle Giveback (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Claudia Berdugo take Clover Health Medicare Advantage plans?

Medicare.gov provider data lists Claudia on 6 Medicare Advantage plans for 2027 in Essex County, NJ, including Clover Health Choice (PPO) and Clover Health Choice Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Clover Health before you enroll.

Where does Claudia Berdugo practice?

205 Summer Ave, Newark, NJ 07104.

How do I confirm Claudia is in my plan's network?

Call the member services number on your plan card and give them the NPI 1841285780, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Claudia's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Claudia Berdugo on 9 plans from Devoted and Wellpoint in Essex County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2013-08-16). Plan networks: carrier provider directories and Medicare.gov provider data, checked Nov 4, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Claudia Berdugo or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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